Active NPI
Eric Norbert Ottenbreit, DPT
- Orthopedic Physical Therapist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 60789
- Practice address
- 1000 River Rd
Eugene, OR 97404-3230 - Phone
- (541) 689-0935
- Fax
- (541) 461-6884
- NPI assigned
- Oct 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 60789 | OR | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT 60390851 | WA |
Addresses
Primary practice location
1000 River Rd
Eugene, OR 97404-3230
Mailing address
1000 River Rd
Eugene, OR 97404-3230
Phone (541) 689-0935
Other practice location 1
19221 36th Avenue W, Suite 101
Lynnwood, WA 98036
Phone (425) 774-9564
Other practice location 2
3265 W 15th Ave
Eugene, OR 97402-3187
Phone (541) 513-4339
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 River Rd
Eugene, OR 97404-3230
Phone (541) 689-0935
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60789 | OR | MD | Orthopedic Physical Therapist |
| PT 60390851 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Physical Therapy | Orthopedic | Current | Accepting new patients |
| Staszak Physical Therapy | Current | Accepting new patients |
Locations
488 E 11th Ave
Ste 150A
Eugene, OR 97401
Phone (541) 505-8180
1000 River Rd
Eugene, OR 97404
Phone (541) 689-0395
Organizations & group practices 2
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.
-
- Physical Therapist
- Eugene, OR
- NPI 1770884652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696118400000",
"number": "1174950356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043230",
"telephone_number": "541-689-0935",
"fax_number": "541-461-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043230",
"telephone_number": "541-689-0935",
"fax_number": "541-461-6884"
}
],
"practiceLocations": [
{
"address_1": "19221 36th Avenue W, Suite 101",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "98036",
"country_code": "US",
"telephone_number": "425-774-9564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3265 W 15th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974023187",
"country_code": "US",
"telephone_number": "541-513-4339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTENBREIT",
"first_name": "ERIC",
"middle_name": "NORBERT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2023-10-01",
"certification_date": "2023-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "60789",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT 60390851",
"primary": false
}
],
"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 Oct 1, 2023; 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.