Ellen King, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2004030790 Issued in MO

Practice address

1180 Patterson St Ste 3-a
Eugene, OR 97401-3619

Phone

(541) 505-8180

Fax

(541) 505-7134

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Starting Line Physical Therapy

  • Physical Therapist
  • Coos Bay, OR
  • NPI 1245789130

  Orthopedic

  Medicare reassignment NPD
• Amber Benson Pmhnp PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1912042862
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1255535340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5571",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050571",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PATTERSON ST STE 3-A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013619",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-03676",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2004030790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "37718011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Kindig Jr., DPT
• Delbrico Kiner
• King Ostomy Health Care Inc
• Cheri Ann King
• E Laine King, M.A.
• Katherine Ann King, LMT, CFT, CCA
• Michael King, P.T.
• Valerie Lynn Savercool King
• Matthew B Kingsbauer, D.O.
• Liza Jeanette Kingsley

• Orthopedic Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.