STEPHEN MICHEAL LEARY PT NPI 1548482672

NPI Information

NPI: 1548482672
Provider Name: STEPHEN MICHEAL LEARY, PT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
147 SW SHEVLIN HIXON DR
SUITE 104
BEND, OR
ZIP 97702
Phone: (541) 312-2252
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Stephen Micheal Leary, PT is an orthopedic physical therapist in Bend, OR with 32 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Stephen Micheal Leary, PT NPI is 1548482672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

147 SW SHEVLIN HIXON DR
SUITE 104
BEND, OR
ZIP 97702-130
Phone: (541) 312-2252

The enumeration date for this NPI number is 5/2/2007 and was last updated on 3/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic	4885	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	840573000	OTHER	OREGON	BLUE CROSS PIN
2	R133877	MEDICARE ID-TYPE UNSPECIFIED	OREGON
3	J6507-02	OTHER	OREGON	PACIFIC SOURCE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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