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

Bruce K Lawrence, DPT

Individual provider Physical Therapist · NPI 1629466800

Bruce K Lawrence, DPT is a Physical Therapist in Private Practice in Medford, Oregon. Qualified in 2009, 17 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

965 Ellendale Dr
Medford, OR 97504
Phone: (541) 734-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 — (971) 224-2838

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 06711 (OR)

Record details

NPI number1629466800
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 23, 2014
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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