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

Mr. Benjamin Michael Bertrand, PT

Individual provider Physical Therapist · NPI 1124000583

Mr. Benjamin Michael Bertrand, PT is a Physical Therapist in Private Practice in LA Grande, Oregon. Qualified in 2001, 25 years ago. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2005
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

301 4th St
LA Grande, OR 97850-1901
Phone: (541) 963-9340
Fax: (541) 962-4562
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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 4176 (OR)

Record details

NPI number1124000583
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESJanuary 17, 2014
Mailing address2508 E O Ave, La Grande, OR 97850-3862

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated

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