Enthusiastic Pediatrics, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENTHUSIASTIC PEDIATRICS, LLC

Practice address

81830 Minnow Creek Rd
Lowell, OR 97452-9741

Phone

(541) 449-7251

Fax

(541) 543-2263

NPI assigned

Apr 18, 2024

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin OelklausNPI 1336656297

Title

Owner/Ceo

Phone

(541) 449-7251

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Oelklaus, DPT

  • Physical Therapist
  • Lowell, OR
  • NPI 1336656297
  NPD Authorized official

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1821843434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81830 MINNOW CREEK RD",
            "city": "LOWELL",
            "state": "OR",
            "postal_code": "974529741",
            "telephone_number": "541-449-7251",
            "fax_number": "541-543-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81830 MINNOW CREEK RD",
            "city": "LOWELL",
            "state": "OR",
            "postal_code": "974529741",
            "telephone_number": "541-449-7251",
            "fax_number": "541-543-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTHUSIASTIC PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "OELKLAUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "541-449-7251"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Joy Buckley, DMD
• Hayden Family Dentistry Group
• Sarah Marmon, LPC
• Erin Oelklaus, DPT
• Kaminda Wells

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.