Wade Anderson, PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4386 Issued in OR

Legal business name

WADE ANDERSON, PT, LLC

Practice address

655 E 11TH Ave
Suite 5
Eugene, OR 97401-3621

Phone

(541) 683-3375

Fax

(541) 683-3419

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Wade Anderson, P.T.

Title

Owner

Phone

(541) 767-3794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1679766448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE",
            "address_2": "SUITE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-683-3375",
            "fax_number": "541-683-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 11TH AVE",
            "address_2": "SUITE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013621",
            "telephone_number": "541-683-3375",
            "fax_number": "541-683-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE ANDERSON, PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-767-3794",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Vu Jr., DDS
• Madeline Kate Vucovich, MSW
• Sarah Vujcich
• Vytality Natural Medicine LLC
• W-E Specialized Care LLC
• Wade H. Watts, DC.,PC.
• Charleanne Marie Wade, L. AC
• James H Wade
• Rajiv Wadhwa, M.D.
• Harlan Dean Wadley, M.D.

• Physical Therapy Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.