Organization Active NPI

Willamette Hand Therapy, LLC

  • Hand Occupational Therapist
  • Eugene, OR
National Provider Identifier
1962727545
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
988571 Issued in OR
Legal business name
WILLAMETTE HAND THERAPY, LLC
Practice address
1711 Willamette St
Suite 302
Eugene, OR 97401-4014
Phone
(541) 357-4536
Fax
(541) 653-9669
NPI assigned
Apr 7, 2010
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Deborah M Ahearn, OT, CHT
Title
Owner
Phone
(541) 485-9907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 988571 OR Primary

Addresses

Primary practice location

1711 Willamette St
Suite 302
Eugene, OR 97401-4014

Mailing address

PO Box 50056
Eugene, OR 97405-0967
Phone (541) 688-9595

Other identifiers 1

IdentifierTypeStateIssuer
DT9264OtherORRAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2866 Crescent Ave
Ste 107
Eugene, OR 97408
Phone (541) 688-9595

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1962727545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50056",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050967",
            "telephone_number": "541-688-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST",
            "address_2": "SUITE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014014",
            "telephone_number": "541-357-4536",
            "fax_number": "541-653-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "AHEARN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-485-9907",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "988571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DT9264",
            "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 19, 2014; 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.