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Active NPI 1538041082 Individual Practitioner Male Practitioner

Wyatt Winterbottom , LMT

Massage Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Wyatt Winterbottom, LMT is a registered healthcare professional specializing in Massage Therapist in Bend, OR. Practice services are available at 369 NE REVERE AVE STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

369 Ne Revere Ave Ste 105

Bend, OR 977014082

Telephone 5413233488
Fax 5413233483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
363 Specialists

Practicing in Bend, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-24
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Stephanie Russell , RDN, LD

Dietitian, Registered

NPI 1093983959

Registered Dietitian Nutritionist, Licensed Dietitian

Kaylee Krajcir , RD

Dietitian, Registered

NPI 1194504738

Registered Dietitian

Lindsey Kelly , RDN

Dietitian, Registered

NPI 1225539174

Registered Dietitian Nutritionist

Tiffany Dominguez

Massage Therapist

NPI 1255002473
Gabrielle Hernandez , RD

Dietitian, Registered

NPI 1255803268

Registered Dietitian

Corrin Kalinich , RDN

Dietitian, Registered

NPI 1275200685

Registered Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2025

Registered at 369 NE REVERE AVE STE 105, BEND, OR 977014082 (Tel: 5413233488)

📍
Updated Business Mailing Address July 24, 2025

Registered at 1902 NE MONTEREY AVE, BEND, OR 977016462 (Tel: 2299771245)

👤
Provider Name / Credentials Updated July 24, 2025

Recorded as WYATT WINTERBOTTOM, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2025

Massage Therapist

🟢
Initial NPI Registration & Enumeration July 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538041082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2025
Last Update: July 24, 2025
Sole Proprietor: Yes

Mailing Address

1902 Ne Monterey Ave

Bend, OR 977016462

Phone: 2299771245

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.