Active NPI
Simon Sjostedt
- Physical Therapist
- Eugene, OR
National Provider Identifier
1487799276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64368
- Practice address
- 1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715 - Phone
- (541) 654-0274
- Fax
- (541) 228-9121
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21818 | MD | |
| Physical Therapist | 225100000X | 10719 | NC | |
| Physical Therapist | 225100000X | 3033 | ME | |
| Physical Therapist | 225100000X | 33509 | CA | |
| Physical Therapist | 225100000X | 64368 | OR | Primary |
Addresses
Primary practice location
1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715
Mailing address
1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715
Phone (541) 654-0274
Other practice location 1
102 Mile Of Cars Way
National City, CA 91950-6603
Phone (619) 477-7112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Green Acres Rd
Suite 11
Eugene, OR 97408-1715
Phone (541) 654-0274
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.4 of 100
- Quality
- 83.61
- Improvement activities
- 40
- Cost
- 86.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21818 | MD | MD | Clinical Social Worker |
| 10719 | NC | MD | Pharmacist |
| 3033 | ME | MD | Physical Therapist |
| 64368 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1020 Green Acres Rd
Ste 11
Eugene, OR 97408
Phone (541) 206-3329
Organizations & group practices 1
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 1316494222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1487799276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 GREEN ACRES RD STE 11",
"city": "EUGENE",
"state": "OR",
"postal_code": "974081715",
"telephone_number": "541-654-0274",
"fax_number": "541-228-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 GREEN ACRES RD STE 11",
"city": "EUGENE",
"state": "OR",
"postal_code": "974081715",
"telephone_number": "541-654-0274",
"fax_number": "541-228-9121"
}
],
"practiceLocations": [
{
"address_1": "102 Mile Of Cars Way",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919506603",
"country_code": "US",
"telephone_number": "619-477-7112",
"fax_number": "619-477-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SJOSTEDT",
"first_name": "SIMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21818",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10719",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3033",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33509",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64368",
"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 Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.