Active NPI
Karen Poague, PT
- Physical Therapist
- Springfield, OR
National Provider Identifier
1225014533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1537
- Practice address
- 5781 Main St
Springfield, OR 97478-5426 - Phone
- (541) 654-0282
- Fax
- (541) 654-0819
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1537 | OR | Primary |
Addresses
Primary practice location
5781 Main St
Springfield, OR 97478-5426
Mailing address
5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00617748 | Other | OR | RRMC |
| 035779 | Medicaid | OR | |
| 084171005 | Other | OR | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1537 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Center of Eugene, Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
dba Physical Therapy Services
- Physical Therapist
- Eugene, OR
- NPI 1578604765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1225014533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 MAIN ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974785426",
"telephone_number": "541-654-0282",
"fax_number": "541-654-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5781 MAIN ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974785426",
"telephone_number": "541-654-0282",
"fax_number": "541-654-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POAGUE",
"first_name": "KAREN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00617748",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035779",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "084171005",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
- Kimberly L Pittman, RN
- Lyndsay Anne Pixler, MA, QMHP, CADC II
- Planned Parenthood of Southwestern Oregon
- Plaza de Nuestra Comunidad
- Jamie Pleich, M.A., LPC
- Willem Poelmans, PA-C
- Pointe Side Opco LLC (timber pointe senior living community; woodside senior living community)
- Carly Policha, FNP
- Kayla Ayne Pollard
- Elena Poole
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.