Active NPI
Sophia Anwar Patel, P.T.
- Physical Therapist
- Eugene, OR
National Provider Identifier
1437378288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62252
- Practice address
- 3575 Donald St Ste 260
Eugene, OR 97405-4744 - Phone
- (541) 255-6400
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 62252 | OR | |
| Physical Therapy Clinic/Center | 261QP2000X | 62252 | OR | |
| Physical Therapist | 225100000X | 62252 | OR | Primary |
Addresses
Primary practice location
3575 Donald St Ste 260
Eugene, OR 97405-4744
Mailing address
7327 S Platte River Pkwy
Littleton, CO 80120-2997
Phone (239) 287-0198
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62252 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Foundations Pediatric Therapy PLLC | Pediatrics | Current | Accepting new patients |
| Functional Foundations Pediatric Services | Physical Therapist | Current | Accepting new patients |
Locations
3575 Donald St
Ste 260
Eugene, OR 97405
Phone (541) 255-6400
Organizations & group practices 2
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.
-
- Physical Therapist
- Eugene, OR
- NPI 1437926789
-
- Pediatric Physical Therapist
- Eugene, OR
- NPI 1730727116
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1437378288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7327 S PLATTE RIVER PKWY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801202997",
"telephone_number": "239-287-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 DONALD ST STE 260",
"city": "EUGENE",
"state": "OR",
"postal_code": "974054744",
"telephone_number": "541-255-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SOPHIA",
"middle_name": "ANWAR",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OR",
"license": "62252",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "62252",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62252",
"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 27, 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.