Individual provider Active NPI

Eileen Hyde, PT, DPT

  • Physical Therapist
  • Keizer, OR
National Provider Identifier
1962130658
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65764 Issued in OR
Practice address
109 McNary Estates Dr N
Keizer, OR 97303-7459
Phone
(503) 463-5231
Fax
(503) 463-5175
NPI assigned
Aug 10, 2022
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 PTL26302 MA
Physical Therapist 225100000X 65764 OR Primary

Addresses

Primary practice location

109 McNary Estates Dr N
Keizer, OR 97303-7459

Mailing address

27 Roseway St Unit 2
Jamaica Plain, MA 02130-2129

Other practice location 1

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 591-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316000767 WA Practitioner - Physical Therapist in Private Practice 5193208304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1651 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 956-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL26302MAMDPhysical Therapist
65764ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Mar 23, 2026 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Mar 23, 2026 Accepting new patients
Physical Therapy Northwest Limited Partnership Physical Therapist PastSince Aug 17, 2025 Accepting new patients
PT Northwest LLC PastSince Aug 17, 2025 Accepting new patients

Locations

1651 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 956-1100

Organizations & group practices 5

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962130658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ROSEWAY ST UNIT 2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MCNARY ESTATES DR N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037459",
            "telephone_number": "503-463-5231",
            "fax_number": "503-463-5175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391047",
            "country_code": "US",
            "telephone_number": "617-591-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "EILEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26302",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.