Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Physical Therapy, Inc

Organization Physical Therapist · NPI 1538161237

Southside Physical Therapy, Inc is a Physical Therapist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

364 SE Wilson Ave
Bend, OR 97702-1711
Phone: (541) 388-2681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3911 (OR)

Record details

NPI number1538161237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Goold — Owner,Ot · (541) 388-2681
NPI enumeratedAugust 11, 2005
Last updated in NPPESMay 10, 2012
Mailing address364 Se Wilson Ave, Bend, OR 97702-1711

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