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

William Blake Matlock, MSPT

Individual provider Physical Therapist · NPI 1013228295

William Blake Matlock, MSPT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
26
Licensed in
OR
In the registry since
2010
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Practice location Address checks out

1693 SW Chandler Ave Ste 140
Bend, OR 97702-3236
Phone: (541) 390-0523
Fax: (541) 787-4383
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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 4366 (OR)

Record details

NPI number1013228295
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedJune 23, 2010
Last updated in NPPESApril 14, 2016
Mailing addressPo Box 72, Bend, OR 97709-0072

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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