Eric D Walberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4400 Issued in OR

Practice address

57250 Overlook Road
Sunriver, OR 97707

Phone

(541) 585-3148

Fax

(541) 323-3452

NPI assigned

Nov 30, 2005

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy Limited PartnershipGroup PAC ID 4880990753, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebound Physical Therapy Limited Partnership

  • Physical Therapist
  • Bend, OR
  • NPI 1164888764
  Medicare reassignment Care Compare group NPD
• Rebound Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Prineville, OR
  • NPI 1497571525

  Physical Therapist

  NPD
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)
• Northwest Center for Sports Medicine & Physical Therapy Inc

  dba Northwest Sports Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  NPD (past)
• Peak Sports and Spine PT-Issaquah P S

  • Physical Therapist
  • Issaquah, WA
  • NPI 1740408905
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1780668186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-585-2529",
            "fax_number": "541-585-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57250 OVERLOOK ROAD",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-585-3148",
            "fax_number": "541-323-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBERG",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182692",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunriver Pharmacy
• Sunriver Service District
• Mercedes Dawn Taylor, LMT
• Therapeutic Associates Inc (TAI - Sunriver)
• Livia M Vanloo, MSPT
• Cari Nicole Welch, LPC

• Physical Therapist in Sunriver, OR
• Providers in Sunriver, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.