Active NPI
Icco, LLC
Doing business as Atlas Physical and Hand Therapy
- Physical Therapist
- Eugene, OR
National Provider Identifier
1528385754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ICCO, LLC
- Doing business as
- Atlas Physical and Hand Therapy
Nova Health
Nova Physical Therapy - Practice address
- 1800 Coburg Rd
Eugene, OR 97401-4995 - Phone
- (541) 342-1632
- Fax
- (541) 345-8763
- NPI assigned
- Apr 28, 2010
- Last updated
- Jul 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William H Clendenen
- Title
- Ceo
- Phone
- (541) 799-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1800 Coburg Rd
Eugene, OR 97401-4995
Mailing address
1292 High St Ste 224
Eugene, OR 97401-3238
Phone (541) 228-3865
Other practice location 1
598 E 13th Ave
Eugene, OR 97401-4783
Phone (541) 636-6479
Other practice location 2
1740 NW Goetz St
Roseburg, OR 97471-1613
Phone (541) 672-4885
Other practice location 3
87983 Territorial Rd
Veneta, OR 97487-8775
Phone (541) 935-2035
Other practice location 4
2710 Willamette St
Eugene, OR 97405-3238
Phone (541) 935-2200
Other practice location 5
355 W 3rd Ave
Junction City, OR 97448-1313
Phone (541) 636-3479
Other practice location 6
5781 Main St
Springfield, OR 97478-5426
Phone (541) 342-1632
Other practice location 7
780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone (541) 672-4885
Other practice location 8
780 NW Garden Valley Blvd Ste 310
Roseburg, OR 97471-2298
Phone (541) 672-4885
Other names 3
- Atlas Physical and Hand Therapy
- Nova Health
- Nova Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000510 | OR | Part B Supplier - Clinic/Group Practice | 1355406729 |
Receives reassigned benefits from 316 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bend, OR; Woodburn, OR; Veneta, OR; Springfield, OR; Salem, OR; Roseburg, OR; Redmond, OR; North Bend, OR… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Harrisburg Medical Clinic
- Primary Care Clinic/Center
- Harrisburg, OR
- NPI 1922458371
O20090218000510
-
dba Musculoskeletal Clinic
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1437660768
O20090218000510
-
dba Veneta Medical Clinic
- Family Medicine Physician
- Veneta, OR
- NPI 1518990621
O20090218000510
-
dba Thurston Urgent Care
- Urgent Care Clinic/Center
- Springfield, OR
- NPI 1528356953
O20090218000510
-
dba Eugene Urgent Care-Coburg
- Urgent Care Clinic/Center
- Eugene, OR
- NPI 1902131022
O20090218000510
National Provider Directory
National Provider Directory- Tax ID family
- Icco LLC
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Eugene, OR
- NPI 1821549536
-
dba Pleasant Hill Medical Clinic
- Primary Care Clinic/Center
- Pleasant Hill, OR
- NPI 1922541184
-
dba Musculoskeletal Clinic
- Sports Medicine (Family Medicine) Physician
- Eugene, OR
- NPI 1437660768
Locations
1292 High St
Eugene, OR 97401
Phone (541) 636-3473
170 N 3rd St
Harrisburg, OR 97446
Phone (541) 998-6750
5781 Main St
Springfield, OR 97478
Phone (541) 284-1694
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1285658625
-
- Physician Assistant
- Bend, OR
- NPI 1134639719
-
- Physician Assistant
- Springfield, OR
- NPI 1770058224
-
- Family Nurse Practitioner
- Roseburg, OR
- NPI 1609893395
-
- Emergency Medicine Physician
- Springfield, OR
- NPI 1780639385
-
- Family Nurse Practitioner
- Wilsonville, OR
- NPI 1952528895
-
- Family Nurse Practitioner
- Corvallis, OR
- NPI 1972646271
-
- Primary Care Nurse Practitioner
- Woodburn, OR
- NPI 1447034483
-
- Medical Physician Assistant
- Portland, OR
- NPI 1831681618
-
- Hand Occupational Therapist
- Eugene, OR
- NPI 1528100310
-
- Physician Assistant
- Bend, OR
- NPI 1639507288
-
- Surgical Physician Assistant
- Redmond, OR
- NPI 1669600888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1528385754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 HIGH ST STE 224",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013238",
"telephone_number": "541-228-3865",
"fax_number": "541-654-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014995",
"telephone_number": "541-342-1632",
"fax_number": "541-345-8763"
}
],
"practiceLocations": [
{
"address_1": "598 E 13th Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014783",
"country_code": "US",
"telephone_number": "541-636-6479",
"fax_number": "541-636-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 NW Goetz St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974711613",
"country_code": "US",
"telephone_number": "541-672-4885",
"fax_number": "541-672-4541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87983 Territorial Rd",
"address_purpose": "LOCATION",
"city": "Veneta",
"state": "OR",
"postal_code": "974878775",
"country_code": "US",
"telephone_number": "541-935-2035",
"fax_number": "541-935-6608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2710 Willamette St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974053238",
"country_code": "US",
"telephone_number": "541-935-2200",
"fax_number": "541-505-7486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "355 W 3rd Ave",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "OR",
"postal_code": "974481313",
"country_code": "US",
"telephone_number": "541-636-3479",
"fax_number": "541-636-3480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5781 Main St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974785426",
"country_code": "US",
"telephone_number": "541-342-1632",
"fax_number": "541-345-8763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 NW Garden Valley Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974712298",
"country_code": "US",
"telephone_number": "541-672-4885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 NW Garden Valley Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974712298",
"country_code": "US",
"telephone_number": "541-672-4885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ICCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-28",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "CLENDENEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-799-1150"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlas Physical and Hand Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nova Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nova Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nova Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.