Active NPI
Brian James Wilkinson, D.P.T.
- Physical Therapist
- Eugene, OR
National Provider Identifier
1821156167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05883
- Practice address
- 1711 Willamette Street
Ste 302
Eugene, OR 97401 - Phone
- (541) 357-4536
- Fax
- (541) 653-9669
- NPI assigned
- Dec 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33173 | CA | |
| Physical Therapist | 225100000X | 05883 | OR | Primary |
Addresses
Primary practice location
1711 Willamette Street
Ste 302
Eugene, OR 97401
Mailing address
1711 Willamette Street
Ste 302
Eugene, OR 97401
Phone (541) 357-4536
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33173 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Orthotics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Customized Equipment (DME)
- Eugene, OR
- NPI 1639650054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1821156167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 WILLAMETTE STREET",
"address_2": "STE 302",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-357-4536",
"fax_number": "541-653-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 WILLAMETTE STREET",
"address_2": "STE 302",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-357-4536",
"fax_number": "541-653-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "BRIAN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33173",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "05883",
"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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.