Individual provider Active NPI

Melinda Grove Lunger, PT

  • Orthopedic Physical Therapist
  • Eugene, OR
National Provider Identifier
1255466934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1646 Issued in OR
Practice address
436 Charnelton St
Eugene, OR 97401-2626
Phone
(541) 344-6446
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1646 OR Primary

Addresses

Primary practice location

436 Charnelton St
Eugene, OR 97401-2626

Mailing address

436 Charnelton St
Eugene, OR 97401-2626
Phone (541) 344-6446

Other identifiers 2

IdentifierTypeStateIssuer
J344603OtherORPACIFICSOURCE
838435003OtherORREGENCE BLUE CROSS

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

LicenseStateTypeSpecialty
1646ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc. PastSince May 27, 2003 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255466934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012626",
            "telephone_number": "541-344-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012626",
            "telephone_number": "541-344-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNGER",
        "first_name": "MELINDA",
        "middle_name": "GROVE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "J344603",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "838435003",
            "state": "OR"
        }
    ],
    "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 Jul 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.

Verify at the official NPI Registry.