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

Carol Roeder, PT

Individual provider Physical Therapist · NPI 1174983415

Carol Roeder, PT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 2015, 11 years ago. Practices with Osprey Physical Therapy and Sports Medicine LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
11
Licensed in
CA, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

558 SE 9th St Ste 5
Bend, OR 97702-2265
Phone: (541) 410-3428
Fax: (541) 640-5541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 909 Se 2nd St Ste B, Bend, OR 97702-1756 — (541) 410-3428

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63766 (OR)
Physical Therapist Taxonomy 225100000X · Licence 291240 (CA)

Record details

NPI number1174983415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 29, 2016
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025
Mailing address558 Se 9th St Ste 5, Bend, OR 97702-2265

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osprey Physical Therapy And Sports Medicine Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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