Active NPI
Samuel Stewart
- Physical Therapist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61671
- Practice address
- 1777 Coburg Rd Ste 3
Eugene, OR 97401-5477 - Phone
- (541) 505-8041
- Fax
- (541) 505-9956
- NPI assigned
- May 18, 2016
- Last updated
- May 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61671 | OR | Primary |
Addresses
Primary practice location
1777 Coburg Rd Ste 3
Eugene, OR 97401-5477
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 682-8840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0355693 | Other | OR | WA L&I |
| 500708180 | Medicaid | OR | |
| 0355691 | Other | OR | WA L&I |
| 0355692 | Other | OR | WA L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1777 Coburg Rd
Suite 3
Eugene, OR 97401-5477
Phone (541) 505-8041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61671 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878
1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041
2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194
4242 Commerce St
Ste A
Eugene, OR 97402
Phone (541) 484-9632
3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Grants Pass, OR
- NPI 1801257191
-
dba TAI Mt. Ashland Physical Therapy
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
- Physical Therapist
- Ashland, OR
- NPI 1366935702
-
- Physical Therapist
- Roseburg, OR
- NPI 1427524388
-
dba TAI - Creswell Physical Therapy
- Physical Therapist
- Creswell, OR
- NPI 1689192387
-
dba TAI West Eugene Physical Therapy
- Physical Therapist
- Eugene, OR
- NPI 1497731855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1093162117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-682-8840",
"fax_number": "423-602-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 COBURG RD STE 3",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015477",
"telephone_number": "541-505-8041",
"fax_number": "541-505-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-18",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0355693",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500708180",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0355691",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0355692",
"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 May 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.