Active NPI
Eric-Paul Sparrow, PTA
- Physical Therapy Assistant
- Lake Oswego, OR
National Provider Identifier
1811490477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 08598
- Practice address
- 17360 Holy Names Dr
Lake Oswego, OR 97034-5191 - Phone
- (503) 636-0235
- Fax
- (503) 636-0421
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 08598 | OR | Primary |
Addresses
Primary practice location
17360 Holy Names Dr
Lake Oswego, OR 97034-5191
Mailing address
17360 Holy Names Dr
Lake Oswego, OR 97034-5191
Phone (503) 636-0235
Other practice location 1
Eric Sparrow c/o Marys Woods at Marylhurst
17360 Holy Names Drive
Lake Oswego, OR 97034
Phone (503) 636-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08598 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1811490477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 HOLY NAMES DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970345191",
"telephone_number": "503-636-0235",
"fax_number": "503-636-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17360 HOLY NAMES DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970345191",
"telephone_number": "503-636-0235",
"fax_number": "503-636-0421"
}
],
"practiceLocations": [
{
"address_1": "Eric Sparrow c/o Marys Woods at Marylhurst",
"address_2": "17360 Holy Names Drive",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "97034",
"country_code": "US",
"telephone_number": "503-636-0235",
"fax_number": "503-636-0421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARROW",
"first_name": "ERIC-PAUL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "08598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.