Individual provider Active NPI

Michele Stuart Gladieux, PT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1326700741
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03449 Issued in OR
Practice address
120 Shelton McMurphey Blvd Ste 300
Eugene, OR 97401-8718
Phone
(458) 210-2940
Fax
(541) 654-4680
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03449 OR Primary

Addresses

Primary practice location

120 Shelton McMurphey Blvd Ste 300
Eugene, OR 97401-8718

Mailing address

2556 Nixon St
Eugene, OR 97403-1639
Phone (541) 554-1702

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
03449ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tensegrity Physical Therapy Physical Therapist Past 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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1326700741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 NIXON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031639",
            "telephone_number": "541-554-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHELTON MCMURPHEY BLVD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018718",
            "telephone_number": "458-210-2940",
            "fax_number": "541-654-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADIEUX",
        "first_name": "MICHELE",
        "middle_name": "STUART",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "03449",
            "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 Oct 13, 2021; 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.