NPIMap

Organization Active NPI

Reclaim Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Eugene, OR
National Provider Identifier
1811201247
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5603 Issued in OR
Legal business name
RECLAIM PHYSICAL THERAPY LLC
Practice address
1144 Willagillespie Rd Ste 1
Eugene, OR 97401-6711
Phone
(541) 636-4471
Fax
(541) 357-4992
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Mark Ouellette, PTNPI 1588720510
Title
Owner
Phone
(541) 636-4471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5603 OR Primary

Addresses

Primary practice location

1144 Willagillespie Rd Ste 1
Eugene, OR 97401-6711

Mailing address

1144 Willagillespie Rd
Suite 1
Eugene, OR 97401-6729
Phone (541) 636-4471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000871 OR Part B Supplier - Clinic/Group Practice 2163614470 Receives reassigned benefits from 6 practitioners
Practice locations: Eugene, OR; Springfield, OR

National Provider Directory

National Provider Directory

Locations

82 Centennial Loop
Eugene, OR 97401
Phone (541) 636-4471

1144 Willagillespie Rd
Ste 1
Eugene, OR 97401
Phone (541) 603-9960

898 Beltline Rd
Springfield, OR 97477
Phone (541) 636-4471

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1811201247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WILLAGILLESPIE RD",
            "address_2": "SUITE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016729",
            "telephone_number": "541-636-4471",
            "fax_number": "541-357-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 WILLAGILLESPIE RD STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016711",
            "telephone_number": "541-636-4471",
            "fax_number": "541-357-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-636-4471",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5603",
            "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 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.