NPIMap

Organization Active NPI

Youth Movement Project

  • Physical Therapy Assistant
  • Eugene, OR
National Provider Identifier
1407463474
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
YOUTH MOVEMENT PROJECT
Practice address
1274 W 7TH Ave
Eugene, OR 97402-4523
Phone
(541) 762-1755
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Lisa GlasserNPI 1811138670
Title
Board Member
Phone
(541) 762-1755

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 AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225200000X Primary

Addresses

Primary practice location

1274 W 7TH Ave
Eugene, OR 97402-4523

Mailing address

1274 W 7TH Ave
Eugene, OR 97402-4523
Phone (541) 762-1755

National Provider Directory

National Provider Directory

Locations

1274 W 7th Ave
Eugene, OR 97402
Phone (541) 505-4000

Practitioners & affiliated clinicians

Practitioners 12

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1407463474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024523",
            "telephone_number": "541-762-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024523",
            "telephone_number": "541-762-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH MOVEMENT PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "541-762-1755"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "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 Sep 24, 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.