DYNAMIC SPORTS REHAB
NPI 1962902403
Chiropractor - Sports Physician in Bend, OR

Q: What is Shawn Lutz Dc LLC's NPI number?

The NPI number for Shawn Lutz Dc LLC is 1962902403. It was assigned to this organization in the NPPES registry on February 20, 2018. The provider is doing business as Dynamic Sports Rehab.

Q: What is Shawn Lutz Dc LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Lutz Dc LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 20, 2018

296 SW COLUMBIA ST STE D1, BEND, OR 97702(541) 600-2558(541) 833-0562 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2022, Feb 20, 2018 (2 updates tracked since 2018).

On this page

About Dynamic Sports Rehab NPPES

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

DYNAMIC SPORTS REHAB (NPI 1962902403) is a healthcare organization registered as a sports physician in Bend, Oregon and active in the NPI registry since February 2018. The organization lists Shawn Conrad Lutz, Owner, as its authorized official.

NPPES Registry Identity

NPI1962902403

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameSHAWN LUTZ DC LLC

Location Address296 SW COLUMBIA ST STE D1Bend, OR 97702-1020

Mailing Address296 Sw Columbia St Ste D1Bend, OR 97702-1020 · (541) 600-2558 · Fax (541) 833-0562

Phone(541) 600-2558

Fax(541) 833-0562

Organization SubpartNo

Authorized OfficialShawn Conrad LutzOwner · (458) 206-6123

Enumeration DateFebruary 20, 2018

Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1962902403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OR · 4064

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

296 SW COLUMBIA ST STE D1, Bend, OR 97702

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Other Names 1

Doing Business AsDynamic Sports Rehab

Other Identifiers 1

Other1093012999Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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)

Dynamic Sports Rehab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dynamic Sports Rehab, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Farris, D.C.

Chiropractic

NPI 1770953085

296 SW COLUMBIA ST STE D1
Bend, OR 97702

(541) 600-2558

✔ Accepts MedicareSame address

Macy Earl, DC

Chiropractic

NPI 1154173094

155 SW CENTURY DR STE 111
Bend, OR 97702

(541) 797-6229

✔ Accepts Medicare0.3 mi

Shawn Lutz, D.C.

Chiropractic

NPI 1093012999

2955 N HWY 97 STE 100
Bend, OR 97703

(458) 206-6123

✔ Accepts Medicare2.4 mi

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 Shawn Lutz Dc LLC's NPI number?

The NPI number for Shawn Lutz Dc LLC is 1962902403. It was assigned to this organization in the NPPES registry on February 20, 2018. The provider is doing business as Dynamic Sports Rehab.

Where is Shawn Lutz Dc LLC located?

Shawn Lutz Dc LLC is located at 296 SW Columbia St Ste D1, Bend, OR 97702. The listed phone number is (541) 600-2558.

What is Shawn Lutz Dc LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Shawn Lutz Dc LLC enrolled in Medicare?

Yes. Shawn Lutz Dc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shawn Lutz Dc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Shawn Lutz Dc 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shawn Lutz Dc LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Shawn Lutz Dc LLC 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 Shawn Lutz Dc LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.