Individual provider Active NPI

Erika Maltese Gant Hambrick, PT, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1093487696
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63976 Issued in OR
Practice address
901 E 18TH Ave
Eugene, OR 97403-1354
Phone
(541) 346-3575
Fax
(541) 346-5844
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299821 CA
Physical Therapist 225100000X 63976 OR Primary

Addresses

Primary practice location

901 E 18TH Ave
Eugene, OR 97403-1354

Mailing address

901 E 18TH Ave
Eugene, OR 97403-1354
Phone (541) 346-3575

Other practice location 1

84 Centennial Loop
Eugene, OR 97401-7909
Phone (541) 255-2681

Other names 1

  • Erika Maltese Gant Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618003046 OR Practitioner - Physical Therapist in Private Practice 2961945928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

901 E 18TH Ave
Eugene, OR 97403-1354
Phone (541) 346-3575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299821CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Jul 1, 2024 Accepting new patients
University Professional Services CurrentSince Jul 1, 2024 Accepting new patients
University Professional Services Current Accepting new patients
Connect the Dots Pediatric Therapy, Inc CurrentSince Apr 1, 2023 Accepting new patients
Therasens Inc PastSince Oct 1, 2021 Accepting new patients

Locations

901 E 18th Ave
Eugene, OR 97403
Phone (541) 346-3575

84 Centennial Loop
Eugene, OR 97401
Phone (541) 255-2681

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1093487696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031354",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031354",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Centennial Loop",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974017909",
            "country_code": "US",
            "telephone_number": "541-255-2681",
            "fax_number": "831-250-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRICK",
        "first_name": "ERIKA",
        "middle_name": "MALTESE GANT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "GANT",
            "middle_name": "MALTESE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 15, 2024; 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.

Verify at the official NPI Registry.