Individual provider Active NPI

Eric Norbert Ottenbreit, DPT

  • Orthopedic Physical Therapist
  • Eugene, OR
National Provider Identifier
1174950356
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
60789 Issued in OR
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

Updated by the provider on Oct 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180116002676 OR Practitioner - Physical Therapist in Private Practice 0547529760 Reassigns benefits to 2 organizations

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
Go Physical TherapyGroup PAC ID 5698160950, 2 clinicians

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

LicenseStateTypeSpecialty
60789ORMDOrthopedic Physical Therapist
PT 60390851WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy Orthopedic CurrentSince Mar 7, 2023 Accepting new patients
Staszak Physical Therapy CurrentSince Feb 1, 2018 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.

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.

Verify at the official NPI Registry.