Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750365755 Individual Practitioner Female Practitioner

Holly K Gullickson , PT

Physical Therapist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Holly Gullickson, PT is a registered healthcare professional specializing in Physical Therapist in Bend, OR. Practice services are available at 915 NE 7TH ST STE 1 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using manual technique, each, evaluation for physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 Ne 7th St Ste 1

Bend, OR 977014515

Telephone 5417280974
Fax 5417280159
Associated Practice Facility / Clinic
🏢 Compass Physical Therapy Llc Facility NPI 1104125194

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
275 Specialists

Practicing in Bend, OR (4188 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
223 14 $70.00 $31.71
97140 Therapy procedure using manual technique, each 15 minutes
166 13 $50.00 $21.16

Medical Specialties & State Licenses

CMS Verified: 2021-01-28
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OR 4039

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License WA PT00007726

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500652195 (OR)
Medicaid State Provider ID
8334831 (WA)
Commercial Insurance / Payer ID Rr Medicare Ptan
P01452484 (OR)
Commercial Insurance / Payer ID Rr Medicare Ptan
P01398074 (OR)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Nicole Leach , DPT

Physical Therapist

NPI 1255887998

Doctor of Physical Therapy

NPI 1518406420

Physical Therapist, Doctor of Physical Therapy

Dr. Ethan Bruno , DPT

Physical Therapist

NPI 1790674901

Doctor of Physical Therapy

NPI 1982764817

Physical Therapist, Orthopedic Clinical Specialist

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location January 28, 2021

Registered at 915 NE 7TH ST STE 1, BEND, OR 977014515 (Tel: 5417280974)

📍
Updated Business Mailing Address January 28, 2021

Registered at 915 NE 7TH ST STE 1, BEND, OR 977014515 (Tel: 5417280974)

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 61615 ATHLETIC CLUB DR, BEND, OR 977023247 (Tel: 5413827890)

📍
Updated Business Mailing Address May 03, 2017

Registered at 16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 972247736 (Tel: 8002198835)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as HOLLY GULLICKSON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Physical Therapist (License #PT00007726 in WA)

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2015

Registered at 61615 ATHLETIC CLUB DR, BEND, OR 977023247 (Tel: 5413827890)

📍
Updated Business Mailing Address June 15, 2015

Registered at 16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 972247736 (Tel: 8002198835)

👤
Provider Name / Credentials Updated June 15, 2015

Recorded as HOLLY FRITZ GULLICKSON, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Physical Therapist (License #4039 in OR)

🟢
Initial NPI Registration & Enumeration December 02, 2005

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: 1750365755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2005
Last Update: January 28, 2021
Sole Proprietor: No

Mailing Address

915 Ne 7th St Ste 1

Bend, OR 977014515

Phone: 5417280974

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.