NPIMap

Organization Active NPI

Eugene Physical Therapy, LLC

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1992796452
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EUGENE PHYSICAL THERAPY, LLC
Practice address
54 Oakway Ctr
Eugene, OR 97401-5645
Phone
(541) 687-7005
Fax
(541) 687-7006
NPI assigned
Nov 3, 2005
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Mrs. Allison Marie Stedman
Title
Office Manager
Phone
(541) 687-7005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

54 Oakway Ctr
Eugene, OR 97401-5645

Mailing address

54 Oakway Ctr
Eugene, OR 97401-5645
Phone (541) 687-7005

Other identifiers 1

IdentifierTypeStateIssuer
227438MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527001391 OR Part B Supplier - Clinic/Group Practice 0345221065 Receives reassigned benefits from 11 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Tax ID family
Eugene Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

54 Oakway Ctr
Eugene, OR 97401
Phone (541) 687-7005

56 Oakway Ctr
Eugene, OR 97401
Phone (541) 683-5600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1992796452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OAKWAY CTR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015645",
            "telephone_number": "541-687-7005",
            "fax_number": "541-687-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 OAKWAY CTR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015645",
            "telephone_number": "541-687-7005",
            "fax_number": "541-687-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "STEDMAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-687-7005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227438",
            "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 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.