Individual provider Active NPI

Leslie Anne Maclaggan, M.P.T.

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1952589368
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5820 Issued in OR
Practice address
911 Country Club Rd
Suite 150
Eugene, OR 97401-6044
Phone
(541) 683-5139
Fax
(541) 683-5783
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34463 CA
Physical Therapist 225100000X 5820 OR Primary

Addresses

Primary practice location

911 Country Club Rd
Suite 150
Eugene, OR 97401-6044

Mailing address

911 Country Club Rd
Suite 150
Eugene, OR 97401-6044
Phone (541) 683-5139

Other identifiers 1

IdentifierTypeStateIssuer
P00796050OtherORRAILROAD MEDICARE

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

LicenseStateTypeSpecialty
34463CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakhurst Physical Therapy Inc Physical Therapist PastSince Feb 9, 2000 Accepting new patients
Oregon Spine and Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1952589368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD",
            "address_2": "SUITE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016044",
            "telephone_number": "541-683-5139",
            "fax_number": "541-683-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 COUNTRY CLUB RD",
            "address_2": "SUITE 150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016044",
            "telephone_number": "541-683-5139",
            "fax_number": "541-683-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAGGAN",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00796050",
            "state": "OR"
        }
    ],
    "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 Mar 24, 2010; 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.