NPIMap

Organization Active NPI

E & R Health and Wellness Inc

Doing business as Physical Therapy Services

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1619148251
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2241 Issued in OR
Legal business name
E & R HEALTH AND WELLNESS INC
Doing business as
Physical Therapy Services
Practice address
1310 Coburg Road #5
Eugene, OR 97401
Phone
(541) 345-7532
Fax
(541) 345-6692
NPI assigned
Mar 21, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Ruggiero S Canizares, PTNPI 1902075591
Title
President
Phone
(541) 345-7532

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2241 OR Primary

Addresses

Primary practice location

1310 Coburg Road #5
Eugene, OR 97401

Mailing address

1310 Coburg Road #5
Eugene, OR 97401
Phone (541) 345-7532

Other identifiers 2

IdentifierTypeStateIssuer
024363MedicaidOR
DN3899OtherORRRMC

Other names 1

  • Physical Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000839 OR Part B Supplier - Clinic/Group Practice 9638249238 Receives reassigned benefits from 5 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Tax ID family
E R Health and Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1619148251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG ROAD #5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-345-7532",
            "fax_number": "541-345-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 COBURG ROAD #5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-345-7532",
            "fax_number": "541-345-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & R HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "CANIZARES",
        "authorized_official_first_name": "RUGGIERO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-345-7532",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024363",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "DN3899",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Services",
            "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 Dec 10, 2008; 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.