Individual provider Active NPI

Tristen Rodriguez Escano, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1780409201
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65545 Issued in OR
Practice address
1310 Coburg Rd Ste 5
Eugene, OR 97401-5200
Phone
(541) 345-7532
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 65545 OR Primary

Addresses

Primary practice location

1310 Coburg Rd Ste 5
Eugene, OR 97401-5200

Mailing address

1310 Coburg Rd Ste 5
Eugene, OR 97401-5200
Phone (541) 345-7532

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206000494 OR Practitioner - Physical Therapist in Private Practice 3375079916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E and R Health and Wellness IncGroup PAC ID 9638249238, 4 clinicians

Practice addresses (Care Compare)

1310 Coburg Rd
Suite 5
Eugene, OR 97401-5200
Phone (541) 345-7532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E & R Health and Wellness Inc Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
Physical Therapy Services Current Accepting new patients

Locations

1310 Coburg Rd
Ste 5
Eugene, OR 97401
Phone (541) 345-7532

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1780409201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-345-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-345-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCANO",
        "first_name": "TRISTEN",
        "middle_name": "RODRIGUEZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65545",
            "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 Nov 19, 2024; 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.