Organization Active NPI

Womens Health Physical Therapy of Eugene, LLC

  • Physical Therapy Clinic/Center
  • Eugene, OR
National Provider Identifier
1992975650
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3693 Issued in OR
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

Updated by the provider on Nov 16, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.