Organization Active NPI

Marlatt LLC

  • Physical Therapy Clinic/Center
  • Eugene, OR
National Provider Identifier
1265711808
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2273 Issued in OR
Legal business name
MARLATT LLC
Practice address
655 E 11TH Ave
Suite 5
Eugene, OR 97401-3621
Phone
(541) 683-3375
Fax
(541) 683-3419
NPI assigned
Aug 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Richard Floyd Marlatt, P.T.NPI 1598810434
Title
Owner
Phone
(541) 683-3375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2273 OR Primary

Addresses

Primary practice location

655 E 11TH Ave
Suite 5
Eugene, OR 97401-3621

Mailing address

655 E 11TH Ave
Suite 5
Eugene, OR 97401-3621
Phone (541) 683-3375

Other names 1

  • Alliance Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1265711808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE",
            "address_2": "SUITE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-683-3375",
            "fax_number": "541-683-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE",
            "address_2": "SUITE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-683-3375",
            "fax_number": "541-683-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLATT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-14",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MARLATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-683-3375",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 2011; 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.