Organization Active NPI

Endurance Physical Therapy, Inc.

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1356769178
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100372390 Issued in OR
Legal business name
ENDURANCE PHYSICAL THERAPY, INC.
Practice address
4730 Village Plaza Loop
Suite 145
Eugene, OR 97401-6679
Phone
(541) 344-4410
Fax
(541) 344-4221
NPI assigned
Mar 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Diane McClusky, D.P.T.
Title
President
Phone
(541) 852-3035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 100372390 OR Primary

Addresses

Primary practice location

4730 Village Plaza Loop
Suite 145
Eugene, OR 97401-6679

Mailing address

2265 Shadylane Dr
Springfield, OR 97477-2149

National Provider Directory

National Provider Directory

Locations

4730 Village Plaza Loop
Ste 145
Eugene, OR 97401
Phone (541) 654-0802

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": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1356769178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 SHADYLANE DR",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 145",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016679",
            "telephone_number": "541-344-4410",
            "fax_number": "541-344-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-852-3035",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "100372390",
            "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 Mar 29, 2014; 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.