Individual provider Active NPI

Ava Marie Litton, PT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1790913069
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2018 Issued in OR
Practice address
2295 Coburg Rd
Suite B2
Eugene, OR 97401
Phone
(541) 505-7592
Fax
(541) 505-7661
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 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 2018 OR Primary

Addresses

Primary practice location

2295 Coburg Rd
Suite B2
Eugene, OR 97401

Mailing address

2295 Coburg Rd
Suite 102
Eugene, OR 97401-7486
Phone (541) 505-7592

Other identifiers 1

IdentifierTypeStateIssuer
2018OtherOROREGON LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000380 OR Practitioner - Physical Therapist in Private Practice 7113070673 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2295 Coburg Rd
Suite B2
Eugene, OR 97401-4959
Phone (541) 505-7592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Physical Therapy CurrentSince Oct 6, 2014 Accepting new patients
K2 Physical Therapy, LLC Past Accepting new patients

Locations

2295 Coburg Rd
Ste B2
Eugene, OR 97401
Phone (541) 505-7592

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1790913069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 COBURG RD",
            "address_2": "SUITE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017486",
            "telephone_number": "541-505-7592",
            "fax_number": "541-505-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 COBURG RD",
            "address_2": "SUITE B2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-505-7592",
            "fax_number": "541-505-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTON",
        "first_name": "AVA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "2018",
            "state": "OR"
        }
    ],
    "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 Apr 5, 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.