OrganizationActive
Caldera Physical Therapy LLC
NPI 1104501600 · Physical Therapist · Sunriver, OR
Provider details
- NPI number
- 1104501600
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Victoria D'Auteuil, Owner(541) 585-0313
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
57031 Ponderosa Rd
Bldg. 27 Suite M2
Sunriver, OR 97707-8708
Phone: (541) 585-0313
Fax: (541) 585-0312
Approximate (ZIP-level) locationGet directions
Mailing address
16675 Masten Mill Dr
La Pine, OR 97739-8708
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2023-09-19
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.