OrganizationActive
Essential Physical Therapy, Inc.
NPI 1104210756 · Physical Therapist · Eugene, OR
Provider details
- NPI number
- 1104210756
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Keith Blackwell, Owner(541) 870-9063
- License
- 03956 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Shelton Mcmurphey Blvd Ste 300
Eugene, OR 97401
Phone: (458) 210-2940
Fax: (541) 654-4680
Street-level locationGet directions
Mailing address
120 Shelton Mcmurphey Blvd Ste 300
Eugene, OR 97401-8718
Additional practice locations (2)
- 150 Shelton Mcmurphey BlvdSuite 203Eugene, OR 97401-5015Phone: (458) 210-2940Fax: (877) 796-0176
- 120 Shelton Mcmurphey Blvd Ste 300Eugene, OR 97401Phone: (458) 210-2940Fax: (541) 654-4680
Registry dates
- Enumerated
- 2015-03-21
- Last updated
- 2019-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.