Active NPI
Womens Health Physical Therapy of Eugene, LLC
- Physical Therapy Clinic/Center
- Eugene, OR
National Provider Identifier
1992975650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3693
- Legal business name
- WOMENS HEALTH PHYSICAL THERAPY OF EUGENE, LLC
- Practice address
- 395 W Broadway
Eugene, OR 97401-2869 - Phone
- (541) 515-6215
- Fax
- (541) 515-6216
- NPI assigned
- Mar 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shannon Marie Forrestall, PT
- Title
- Partner/Physical Therapist
- Phone
- (503) 551-1099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3693 | OR | Primary |
Addresses
Primary practice location
395 W Broadway
Eugene, OR 97401-2869
Mailing address
395 W Broadway
Eugene, OR 97401-2869
Phone (541) 515-6215
Other names 1
- Pelvic wellness center
National Provider Directory
National Provider DirectoryLocations
395 W Broadway
Eugene, OR 97401
Phone (541) 515-6215
2160 W 11th Ave
Ste B
Eugene, OR 97402
Phone (541) 248-2905
1644 Liberty St SE
Salem, OR 97302
Phone (503) 983-8811
2744 12th St SE
Salem, OR 97302
Phone (503) 930-3695
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Eugene, OR
- NPI 1598841660
Single Specialty
-
- Physical Therapist
- Springfield, OR
- NPI 1457760134
-
- Orthopedic Physical Therapist
- Eugene, OR
- NPI 1083198873
-
- Physical Therapist
- San Luis Obispo, CA
- NPI 1891702668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1992975650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 W BROADWAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012869",
"telephone_number": "541-515-6215",
"fax_number": "541-515-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 W BROADWAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012869",
"telephone_number": "541-515-6215",
"fax_number": "541-515-6216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH PHYSICAL THERAPY OF EUGENE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-08",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "FORRESTALL",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PARTNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "503-551-1099",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "3693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pelvic wellness center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 16, 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.