NPIMap

Organization Active NPI

Willamette Community Medical Group LLC

Doing business as Omg Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
National Provider Identifier
1326223207
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Doing business as
Omg Physical Therapy
Practice address
920 Country Club Rd
Ste. 210B
Eugene, OR 97401-6024
Phone
(541) 242-4712
NPI assigned
Jan 9, 2008
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(615) 465-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

920 Country Club Rd
Ste. 210B
Eugene, OR 97401-6024

Mailing address

4000 Meridian Blvd
Attn: Debbie Brewer
Franklin, TN 37067-6325
Phone (615) 465-7626

Other identifiers 1

IdentifierTypeStateIssuer
1326223207OtherORNPI

Other names 1

  • OMG PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory
Part of
Willamette Comm Med GRP LLC

Locations

920 Country Club Rd
Ste 210B
Eugene, OR 97401
Phone (541) 242-4172

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1326223207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "address_2": "ATTN: DEBBIE BREWER",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD",
            "address_2": "STE. 210B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016024",
            "telephone_number": "541-242-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326223207",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMG 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 Feb 17, 2009; 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.