Active NPI
Jed Michael Lauters, PHYSICAL THERAPIST
- Physical Therapist
- Eugene, OR
National Provider Identifier
1235334244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5420
- Practice address
- 4242 Commerce St
Ste a
Eugene, OR 97402-5412 - Phone
- (541) 484-9632
- Fax
- (541) 484-7466
- NPI assigned
- Jun 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5420 | OR | Primary |
Addresses
Primary practice location
4242 Commerce St
Ste a
Eugene, OR 97402-5412
Mailing address
11481 SW Hall Blvd
Ste 201
Portland, OR 97223-8403
Phone (800) 219-8835
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 |
|---|---|---|---|
| 5420 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Portland, OR
- NPI 1144042649
-
- Physical Therapist
- Eugene, OR
- NPI 1497731855
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1235334244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD",
"address_2": "STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "800-219-8835",
"fax_number": "503-443-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 COMMERCE ST",
"address_2": "STE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025412",
"telephone_number": "541-484-9632",
"fax_number": "541-484-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTERS",
"first_name": "JED",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5420",
"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 Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.