Provider Demographics
NPI:1740505304
Name:TORBETT, JOYCE E (PT)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:E
Last Name:TORBETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SW INDUSTRIAL WAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1093
Mailing Address - Country:US
Mailing Address - Phone:541-585-2529
Mailing Address - Fax:541-585-2536
Practice Address - Street 1:61470 S HWY 97
Practice Address - Street 2:SUITE 4
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2187
Practice Address - Country:US
Practice Address - Phone:541-585-1022
Practice Address - Fax:541-585-1024
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR5740225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500621156Medicaid
ORR154084Medicare PIN
OR6221370001Medicare NSC