Individual provider Active NPI

Eileen Mackle Tokuda, PT

  • Physical Therapist
  • Philomath, OR
National Provider Identifier
1609843317
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0736 Issued in OR
Practice address
732 Main St
Philomath, OR 97370-9725
Phone
(541) 929-2255
Fax
(541) 929-7055
NPI assigned
Mar 1, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0736 OR Primary

Addresses

Primary practice location

732 Main St
Philomath, OR 97370-9725

Mailing address

732 Main St
PO Box 1360
Philomath, OR 97370-9725
Phone (541) 929-2255

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0736ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Services Inc PastSince Dec 1, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1609843317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "address_2": "PO BOX 1360",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709725",
            "telephone_number": "541-929-2255",
            "fax_number": "541-929-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MAIN ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709725",
            "telephone_number": "541-929-2255",
            "fax_number": "541-929-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKUDA",
        "first_name": "EILEEN",
        "middle_name": "MACKLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.