Individual provider Active NPI

James Kevin Thomason, PT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1104088590
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60894 Issued in OR
Practice address
1603 Oak St
Eugene, OR 97401-4022
Phone
(541) 345-8895
Fax
(541) 345-8867
NPI assigned
Jun 27, 2008
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60894 OR Primary

Addresses

Primary practice location

1603 Oak St
Eugene, OR 97401-4022

Mailing address

1603 Oak St
Eugene, OR 97401-4022
Phone (541) 345-8895

Other identifiers 1

IdentifierTypeStateIssuer
1104088590MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001894 OR Practitioner - Physical Therapist in Private Practice 7618015769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aligned Physical Therapy LLCGroup PAC ID 3779895677, 2 clinicians

Practice addresses (Care Compare)

2211 NW Professional Dr
Suite 204
Corvallis, OR 97330-3892

2250 NW Century Dr
Suite 120
Corvallis, OR 97330-3496
Phone (541) 207-3720

450 Country Club Rd
Suite 325
Eugene, OR 97401-6134
Phone (541) 915-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Physical Therapy LLC Physical Therapist CurrentSince May 4, 2015 Accepting new patients
Mojo Physical Therapy LLC CurrentSince May 2, 2016 Accepting new patients
Brandon Jackson PT Past Accepting new patients
Brandon Jackson, P T Physical Therapist PastSince Jun 15, 2002 Accepting new patients

Locations

2250 NW Century Dr
#120
Corvallis, OR 97330
Phone (541) 207-3720

1603 Oak St
Eugene, OR 97401
Phone (541) 345-8895

450 Country Club Rd
Ste 325
Eugene, OR 97401
Phone (541) 345-8895

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1104088590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014022",
            "telephone_number": "541-345-8895",
            "fax_number": "541-345-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014022",
            "telephone_number": "541-345-8895",
            "fax_number": "541-345-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104088590",
            "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 Mar 20, 2017; 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.