JOEDPT123, LLC
NPI 1609660893
Clinic/Center - Physical Therapy in Redmond, OR

Active since April 04, 2025
148 NW 2ND ST, REDMOND, OR 97756(734) 649-9160 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Apr 4, 2025 (2 updates tracked since 2025).

About Joedpt123, Llc NPPES

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

JOEDPT123, LLC (NPI 1609660893) is a healthcare organization registered as a physical therapy in Redmond, Oregon and active in the NPI registry since April 2025. The organization lists Joseph Thomas Kundrat, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1609660893
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJOEDPT123, LLC
Location Address148 NW 2ND STRedmond, OR 97756-1820
Mailing Address3183 Sw 28th StRedmond, OR 97756-7565 · (734) 649-9160
Organization SubpartNo
Authorized OfficialJoseph Thomas KundratPhysical Therapist · (734) 649-9160
Enumeration DateApril 4, 2025
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1609660893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
148 NW 2ND ST, Redmond, OR 97756

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joedpt123, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Joedpt123, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1992047641
148 NW 2ND ST
Redmond, OR 97756
(734) 649-9160
Same address

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 Joedpt123, LLC's NPI number?

The NPI number for Joedpt123, LLC is 1609660893. It was assigned to this organization in the NPPES registry on April 4, 2025.

Where is Joedpt123, LLC located?

Joedpt123, LLC is located at 148 NW 2nd St, Redmond, OR 97756. The listed phone number is (734) 649-9160.

What is Joedpt123, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Joedpt123, LLC enrolled in Medicare?

Yes. Joedpt123, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joedpt123, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Joedpt123, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joedpt123, LLC was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.