Individual provider Active NPI

Patrick Carver

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1689192445
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62499 Issued in OR
Practice address
1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715
Phone
(541) 654-0274
Fax
(541) 228-9121
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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 62499 OR Primary

Addresses

Primary practice location

1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715

Mailing address

1020 Green Acres Rd Ste 11
Eugene, OR 97408-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929003502 OR Practitioner - Physical Therapist in Private Practice 2466727458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Physical Therapy IncGroup PAC ID 9537153457, 4 clinicians

Practice addresses (Care Compare)

444 Charnelton St
Eugene, OR 97401-2626
Phone (541) 344-6446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62499ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc. CurrentSince Nov 1, 2023 Accepting new patients

Locations

444 Charnelton St
Eugene, OR 97401
Phone (541) 344-6446

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1689192445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GREEN ACRES RD STE 11",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GREEN ACRES RD STE 11",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974081715",
            "telephone_number": "541-654-0274",
            "fax_number": "541-228-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62499",
            "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 Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.