Individual provider Active NPI

Kayla Litwin, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1639800725
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64558 Issued in OR
Practice address
54 Oakway Ctr
Eugene, OR 97401-5645
Phone
(541) 687-7005
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 64558 OR Primary

Addresses

Primary practice location

54 Oakway Ctr
Eugene, OR 97401-5645

Mailing address

4300 Goodpasture Loop Apt 132
Eugene, OR 97401-1421
Phone (920) 850-1652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823002966 OR Practitioner - Physical Therapist in Private Practice 1759764756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64558ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physical Therapy & Rehab Inc Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Eugene Physical Therapy at Oak Street PastSince Jun 26, 2022 Accepting new patients

Locations

4660 Main St
Ste 600-1
Springfield, OR 97478
Phone (541) 683-5187

Organizations & group practices 2

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1639800725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GOODPASTURE LOOP APT 132",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011421",
            "telephone_number": "920-850-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 OAKWAY CTR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015645",
            "telephone_number": "541-687-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWIN",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64558",
            "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 Jun 21, 2022; 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.