Carla K McKibben, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3689 Issued in OR

Practice address

1711 Willamette St Ste 302
Eugene, OR 97401-4593

Phone

(541) 316-6730

NPI assigned

Dec 19, 2005

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Sports and Interventional Spine LLCGroup PAC ID 3072867316, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Sports and Interventional Spine, LLC

  dba Pacific Sports and Spine

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1881186336
  Medicare reassignment Care Compare group NPD
• Pacific Sports and Interventional Spine, LLC-P

  • Interventional Pain Medicine Physician
  • Sutherlin, OR
  • NPI 1215898564
  NPD
• Spine Center of Eugene, Inc.

  dba Physical Therapy Services

  • Physical Therapist
  • Eugene, OR
  • NPI 1578604765
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1881670198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BEVERLY ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771910",
            "telephone_number": "541-780-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST STE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014593",
            "telephone_number": "541-316-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "CARLA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278721",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bree McKenzie, LPC
• Jean McKenzie, M.S., M.A.
• Judith McKenzie
• Lorraine McKenzie, LCSW
• Julia Katherina McKeown, PA-C
• Carleen Dana McKillop, RD
• John Palmer McKim, DMD
• Benedict McKinley
• Bonnie McKinney
• Myles Cameron McKinney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.