Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southside Physical Therapy, Inc

Organization Physical Therapist · NPI 1538161237

Southside Physical Therapy, Inc provides Physical Therapist services 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 Not confirmed with CMS for 14 years — call before visiting
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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