Organization Active NPI

Performance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Eugene, OR
National Provider Identifier
1578719761
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFORMANCE PHYSICAL THERAPY, INC.
Practice address
1000 River Rd
Suite B
Eugene, OR 97404-3230
Phone
(541) 689-0935
Fax
(541) 461-6884
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Glenda L Patton, P.T.NPI 1558347864
Title
Owner
Phone
(541) 689-0935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1000 River Rd
Suite B
Eugene, OR 97404-3230

Mailing address

1000 River Rd
Suite B
Eugene, OR 97404-3230
Phone (541) 689-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000145 OR Part B Supplier - Clinic/Group Practice 6901957620 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

1000 River Rd
Ste B
Eugene, OR 97404
Phone (541) 689-0935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1578719761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-689-0935",
            "fax_number": "541-461-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "address_2": "SUITE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-689-0935",
            "fax_number": "541-461-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-689-0935",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 1, 2013; 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.

Verify at the official NPI Registry.