IndividualActive
Mackenzie Van Loo, PT
NPI 1104348861 · Physical Therapist · Bend, OR
Provider details
- NPI number
- 1104348861
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 62296 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
336 Sw Cyber Dr Ste 107
Bend, OR 97702
Phone: (541) 382-5500
Fax: (541) 389-5669
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1517
Pendleton, OR 97801-0410
Additional practice locations (2)
- 2191 Nw 2nd St Bldg 4Mcminnville, OR 97128-9106Phone: (503) 434-9594Fax: (503) 434-6808
- 2191 Nw 2nd St Bldg 4Mcminnville, OR 97128-9106Phone: (503) 434-9594Fax: (503) 434-6808
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2022-12-30
- Certified
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.