NPPES file of Aug 9, 2026

Jim F. Wallace, PT

Physical Therapist · Bend, OR

Jim F. Wallace, PT is a physical therapist with a practice address in Bend, Oregon, and NPI 1194928481, issued on Jun 6, 2007. Check the license (Oregon 02948, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194928481
Name
Jim F. Wallace
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License numbers
02948 OR
2948 OR
Self-reported in NPPES; status is on the state search
Practice location
404 NE Penn Ave, Bend, OR 97701
Phone
(541) 318-7041
Enumerated
Jun 6, 2007
Record last updated
Dec 29, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(541) 388-3711
Medicaid ID
500694596 OR
Medicare enrollment
Enrolled (PECOS I20151209002777); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 404 NE Penn Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Heidi Cozier, PTPhysical Therapist1508164955
  2. Maureen Ditta, MPTPhysical Therapist1609854330
  3. Diana EverlyFamily Nurse Practitioner1396347035
  4. Shawnda Jennings, PSSPeer Specialist1023874617
  5. Helenlisle King, PTPhysical Therapist1184096372
  6. Francesca Manti, MS PTPhysical Therapist1871607952

Verify Jim F. Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license 02948
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score9.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Therapeutic Associates IncLa Pine, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jim F. Wallace among 4,123 physical therapist records in Oregon

Jim F. Wallace, PT is one of 4,123 physical therapist records with a practice address in Oregon. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 19% of them.

  • NPI issued2007 · 19% of these records are older, 69% newer
  • In a Medicare fileYes · 34% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated1981 · median 2016 among the 1,471 with a school on file
  • Record last updated2016 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

272 physical therapist records list a practice address in Bend

They are 272 of the 5,313 NPPES records with a practice address in Bend, and 4,123 physical therapist records in Oregon.

The 8 physical therapist records with the nearest ZIP codes

  1. Kathleen Bradley, PTBend, OR 977011851373989
  2. Charles Brockman, PTBend, OR 977011750367256
  3. Shana Brooks, MPTBend, OR 977011679555700
  4. Lisa Corrigan, PTBend, OR 977011922084326
  5. Janet Goewey, P.T.Bend, OR 977011699768317
  6. Holly Gullickson, PTBend, OR 977011750365755
  7. Megan Ledyard, PTBend, OR 977011780668723
  8. Georgia Merrifield, PTBend, OR 977011669454799

Common questions

What is Jim F. Wallace, PT's NPI number?

Jim F. Wallace, PT's National Provider Identifier (NPI) is 1194928481, issued on Jun 6, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Jim F. Wallace, PT located?

The NPPES record lists a practice address at 404 NE Penn Ave, Bend, OR, 97701. Phone: (541) 318-7041. Providers update this record themselves, so call before visiting.

How can I verify Jim F. Wallace, PT's license?

NPPES lists Oregon license number 02948, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

What is Jim F. Wallace, PT's MIPS final score?

The 2023 MIPS final score is 8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.