Provider Demographics
NPI:1144003294
Name:TRAINING STATION PT
Entity type:Organization
Organization Name:TRAINING STATION PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:OCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-314-1519
Mailing Address - Street 1:1931 NW FIELDS ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-7326
Mailing Address - Country:US
Mailing Address - Phone:516-314-1515
Mailing Address - Fax:
Practice Address - Street 1:745 NW MT WASHINGTON DR STE 109
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1574
Practice Address - Country:US
Practice Address - Phone:516-314-1519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy