Eaton Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EATON PHYSICAL THERAPY INC

Practice address

6248 Crater Lake Dr
Roseville, CA 95678-1973

Phone

(916) 521-7263

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

James Eaton, PTNPI 1558457325

Title

Owner

Phone

(916) 521-7263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Eric Eaton, M.S.P.T.

  • Physical Therapist
  • Roseville, CA
  • NPI 1558457325

  CA, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1073282943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 CRATER LAKE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781973",
            "telephone_number": "916-521-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 CRATER LAKE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781973",
            "telephone_number": "916-521-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-521-7263",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eae Vascular Access Services, LLC
• Samantha Eason
• East West Acupuncture Center
• Easy Nemt Inc
• Janet K. Eatherton, MD
• James Eric Eaton, M.S.P.T.
• Jennifer Marie Eaton
• Daniel Jayakumaar Ebenezer, M.D.
• Bruce W. Ebert, PH.D., J.D., LL.M.
• Kimberly Ebinger

• All providers in Roseville, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.