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BOUNCE BACK THERAPY, LLC
NPI 1417548736
Counselor - Professional in Lyons, OR

Active since January 29, 2021
11351 PIONEER RD SE, LYONS, OR 97358(503) 400-4485 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jan 29, 2021 (2 updates tracked since 2021).

About Bounce Back Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNCE BACK THERAPY, LLC (NPI 1417548736) is a healthcare organization registered as a professional in Lyons, Oregon and active in the NPI registry since January 2021. The organization lists Cynthia Sue Scott, Ma, as its authorized official.

NPPES Registry Identity

NPI1417548736
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBOUNCE BACK THERAPY, LLC
Location Address11351 PIONEER RD SELyons, OR 97358-9759
Mailing Address11351 Pioneer Rd SeLyons, OR 97358-9759 · (503) 400-4485
Phone(503) 400-4485
Organization SubpartNo
Authorized OfficialCynthia Sue ScottMa · (503) 400-4485
Enumeration DateJanuary 29, 2021
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1417548736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
11351 PIONEER RD SE, Lyons, OR 97358
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bounce Back Therapy, LLC's NPI number?

The NPI number for Bounce Back Therapy, LLC is 1417548736. It was assigned to this organization in the NPPES registry on January 29, 2021.

Where is Bounce Back Therapy, LLC located?

Bounce Back Therapy, LLC is located at 11351 Pioneer Rd SE, Lyons, OR 97358. The listed phone number is (503) 400-4485.

What is Bounce Back Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bounce Back Therapy, LLC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.