NPIMap

Organization Active NPI

Mobility Project Physical Therapy P C

  • Orthopedic Physical Therapist
  • Eugene, OR
National Provider Identifier
1073067880
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MOBILITY PROJECT PHYSICAL THERAPY P C
Practice address
390 Lincoln St Ste 230
Eugene, OR 97401-6021
Phone
(541) 255-2095
Fax
(541) 255-2445
NPI assigned
Aug 10, 2016
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christine M Bodner, PT, DPT, CLTNPI 1275728396
Title
Practice Owner/Physical Therapist
Phone
(541) 255-2095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5500 OR
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

390 Lincoln St Ste 230
Eugene, OR 97401-6021

Mailing address

390 Lincoln St Ste 230
Eugene, OR 97401
Phone (541) 255-2095

Other identifiers 1

IdentifierTypeStateIssuer
R190987OtherORMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110001174 OR Part B Supplier - Clinic/Group Practice 7911286109 Receives reassigned benefits from 4 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1073067880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LINCOLN ST STE 230",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-255-2095",
            "fax_number": "541-255-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINCOLN ST STE 230",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016021",
            "telephone_number": "541-255-2095",
            "fax_number": "541-255-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROJECT PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "BODNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-255-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5500",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R190987",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.