Spine Center of Eugene, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1537 Issued in OR

Legal business name

SPINE CENTER OF EUGENE, INC

Doing business as

dba, Physical Therapy Services

Practice address

1611 J St
Springfield, OR 97477-4252

Phone

(541) 726-9871

Fax

(541) 726-2064

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Karen Poague Brady, PT

Title

President

Phone

(541) 345-7532

Specialties & licenses 1

Addresses

Other names 1

• dba, Physical Therapy Services Doing business as

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356485312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD",
            "address_2": "SUITE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-345-7532",
            "fax_number": "541-345-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 J ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774252",
            "telephone_number": "541-726-9871",
            "fax_number": "541-726-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER OF EUGENE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "POAGUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-345-7532",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba, Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Springfield, OR
• Providers in Springfield, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.