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

Mr. Derek A Green, DPT

Individual provider Orthopedic Physical Therapist · NPI 1285946822

Mr. Derek A Green, DPT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 2010, 16 years ago. Practices with Redbird LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2010
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

330 NE Marshall Ave
Bend, OR 97701-4346
Phone: (541) 383-8179
Fax: (541) 382-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 6254 (OR)

Record details

NPI number1285946822
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 12, 2010
Last updated in NPPESMay 6, 2014
Mailing address330 Ne Marshall Ave, Bend, OR 97701-4346

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Redbird Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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