Individual provider Active NPI

Chie Tadaki, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1114393188
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61336 Issued in OR
Practice address
313 E 8TH Ave
Eugene, OR 97401-2709
Phone
(541) 484-0693
Fax
(541) 343-6206
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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 61336 OR Primary

Addresses

Primary practice location

313 E 8TH Ave
Eugene, OR 97401-2709

Mailing address

313 E 8TH Ave
Eugene, OR 97401-2709
Phone (541) 484-0693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yuzu Physical Therapy and Wellness, LLC Current Accepting new patients

Locations

436 SE 12th Ave
Portland, OR 97214
Phone (503) 236-6833

Organizations & group practices 1

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1114393188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 8TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012709",
            "telephone_number": "541-484-0693",
            "fax_number": "541-343-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 8TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012709",
            "telephone_number": "541-484-0693",
            "fax_number": "541-343-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAKI",
        "first_name": "CHIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61336",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.