Carrie S Waters, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5097 Issued in CA

Practice address

911 Country Club Rd
Suite 150
Eugene, OR 97401-6044

Phone

(541) 895-5913

Fax

(541) 895-5941

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oregon Spine & Physical Therapy

  • Physical Therapist
  • Eugene, OR
  • NPI 1780615518
  NPD (past)
• Oregon Spine and Physical Therapy

  • Physical Therapy Assistant
  • Eugene, OR
  • NPI 1295743748

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568470201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SPRING BLVD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD",
            "address_2": "SUITE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016044",
            "telephone_number": "541-895-5913",
            "fax_number": "541-895-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CARRIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Wayne Washington, QMHA
• Shauna Washington
• Washizu Body Wellness
• Maya Kathleen Washizu, LAC
• Jennifer Gwen Wassermiller, MSW
• Kathryn C Waters, DC
• Scott J Waters, LPC
• Shannon Marie Waters
• Judith A. Watkins, M.D.
• Marjorie Lucille Watkins, QMHP

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.