Active NPI
Duane B Iversen, PT
- Orthopedic Physical Therapist
- Eugene, OR
National Provider Identifier
1629128756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 00734
- Practice address
- 55 Coburg Rd
Slocum Orthopedics PC
Eugene, OR 97401-2433 - Phone
- (541) 485-8111
- Fax
- (541) 868-0883
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0734 | OR | |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | AT 941024 | OR | |
| Orthopedic Physical Therapist | 2251X0800X | 00734 | OR | Primary |
Addresses
Primary practice location
55 Coburg Rd
Slocum Orthopedics PC
Eugene, OR 97401-2433
Mailing address
55 Coburg Rd
Slocum Orthopedics PC
Eugene, OR 97401-2433
Phone (541) 485-8111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0734 | OR | MD | Physical Therapist |
| AT 941024 | OR | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slocum Orthopedics, PC | Orthopedic | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1629128756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COBURG RD",
"address_2": "SLOCUM ORTHOPEDICS PC",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012433",
"telephone_number": "541-485-8111",
"fax_number": "541-868-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COBURG RD",
"address_2": "SLOCUM ORTHOPEDICS PC",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012433",
"telephone_number": "541-485-8111",
"fax_number": "541-868-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSEN",
"first_name": "DUANE",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0734",
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "OR",
"license": "AT 941024",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "00734",
"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 Feb 6, 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.