Individual provider Active NPI

Sophia Anwar Patel, P.T.

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1437378288
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62252 Issued in OR
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

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
62252ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Foundations Pediatric Therapy PLLC Pediatrics CurrentSince Nov 1, 2020 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.

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.

Verify at the official NPI Registry.