Provider Demographics
NPI:1508057654
Name:COMPREHENSIVE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-344-6446
Mailing Address - Street 1:444 CARNELTON ST.
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2626
Mailing Address - Country:US
Mailing Address - Phone:541-344-6446
Mailing Address - Fax:541-344-6336
Practice Address - Street 1:444 CHARNELTON ST.
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2626
Practice Address - Country:US
Practice Address - Phone:541-344-6446
Practice Address - Fax:541-344-6336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR116019Medicare PIN