SOUTHSIDE PHYSICAL THERAPY, INC
NPI 1255882635
Clinic/Center - Physical Therapy in Bend, OR
About Southside Physical Therapy, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE PHYSICAL THERAPY, INC (NPI 1255882635) is a healthcare organization registered as a physical therapy in Bend, Oregon and active in the NPI registry since October 2016. The organization lists Jonathan P Sampson, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southside Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southside Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sampson Physical Therapy, Inc's NPI number?
The NPI number for Sampson Physical Therapy, Inc is 1255882635. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as Southside Physical Therapy, Inc.
Where is Sampson Physical Therapy, Inc located?
Sampson Physical Therapy, Inc is located at 121 NW Greenwood Ave Ste 101, Bend, OR 97703. The listed phone number is (541) 388-2681.
What is Sampson Physical Therapy, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Sampson Physical Therapy, Inc enrolled in Medicare?
Yes. Sampson Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sampson Physical Therapy, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sampson Physical Therapy, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sampson Physical Therapy, Inc accept?
Health plans from Moda Health Plan, Inc. list Sampson Physical Therapy, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sampson Physical Therapy, Inc was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southside Physical Therapy, Inc · NPI 1255882635
Physical Therapy organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since October 20, 2016.
## Identity
- **NPI:** 1255882635 (Entity type: Organization)
- **Enumerated:** October 20, 2016
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Sampson Physical Therapy, Inc
- **Organization subpart:** No
- **Authorized official:** Jonathan Sampson, PRESIDENT/OWNER
## Practice location
- **Address:** 121 NW GREENWOOD AVE STE 101, Bend, OR 97703-2079
- **Phone:** (541) 388-2681 · **Fax:** (541) 388-9236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255882635) · Data from the CMS NPPES public registry.