Active NPI 1093121014 Individual Practitioner Female Practitioner

Kelsi Tidball

Specialist • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Kelsi Tidball is a registered healthcare professional specializing in Specialist in Eugene, OR. Practice services are available at 1310 COBURG RD STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1310 Coburg Rd Ste 5

Eugene, OR 974015200

Telephone 5413457532

Fax 5413456692

Associated Practice Facility / Clinic

🏢 Physical Therapy Services Facility NPI 1235534017

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eugene, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.6 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

95 Specialists

Practicing in Eugene, OR (1153 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 16665

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Cynthia Ho , PT

Physical Therapist

NPI 1093556540

Physical Therapist

John Habrat , PT

Physical Therapist

NPI 1184602054

Physical Therapist

Virginia Mulvey , PT

Physical Therapist

NPI 1346224748

Physical Therapist

Dr. Joseph Brazill , DPT

Physical Therapist

NPI 1366686818

Doctor of Physical Therapy

Dr. Jeff Kindig , DPT

Physical Therapist

NPI 1386072684

Doctor of Physical Therapy

Kathleen Mclaughlin , MSPT

Physical Therapist

NPI 1538122403

Master of Science in Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2014

Registered at 1310 COBURG RD STE 5, EUGENE, OR 974015200 (Tel: 5413457532)

📍

Updated Business Mailing Address July 10, 2014

Registered at 1310 COBURG RD STE 5, EUGENE, OR 974015200 (Tel: 5413457532)

👤

Provider Name / Credentials Updated July 10, 2014

Recorded as KELSI TIDBALL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Specialist (License #16665 in OR)

🟢

Initial NPI Registration & Enumeration July 10, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093121014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 10, 2014

Last Update: July 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1310 Coburg Rd Ste 5

Eugene, OR 974015200

Phone: 5413457532

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.