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Deactivated NPI 1114030632 Deactivated / Inactive NPI Female Practitioner

Eileen R Johnson , BACHELORS

Physical Therapist • Salem, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eileen Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2006
NPI Deactivation Date November 24, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Eileen Johnson, BACHELORS was a registered Physical Therapist practicing in Salem, OR. Throughout an active medical career spanning 15 years, Eileen Johnson provided care at the practice location at 2400 LANCASTER DR NE until profile deactivation on 2021-11-24.

Practice Location & Contact Primary Location

Practice Address

2400 Lancaster Dr Ne

Salem, OR 973051221

Telephone 5037635955
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
215 Specialists

Practicing in Salem, OR (4188 Statewide)

Telehealth Adoption Rate
0.5% 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

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OR 1155

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1033220264

Doctor of Medicine (M.D.)

Mary Self , ABOC

Technician/Technologist - Optician

NPI 1053402511
Ellany Adams , LCSW

Social Worker - Clinical

NPI 1083005748

Licensed Clinical Social Worker

Alison Green , MSN, FNP-C

Nurse Practitioner - Family

NPI 1083166029

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Oanh Nguyen

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1093080087
James Barger , MSN, ANP

Nurse Practitioner - Occupational Health

NPI 1114144193

Master of Science in Nursing, Adult Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 24, 2021

Record deactivated on November 24, 2021

NPI Profile Active August 31, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2010

Registered at 2400 LANCASTER DR NE, SALEM, OR 973051221 (Tel: 5037635955)

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Updated Business Mailing Address August 31, 2010

Registered at 6997 HAZELGREEN RD NE, SALEM, OR 973059505

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Provider Name / Credentials Updated August 31, 2010

Recorded as EILEEN JOHNSON, BACHELORS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2010

Physical Therapist (License #1155 in OR)

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Initial NPI Registration & Enumeration August 17, 2006

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: 1114030632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: August 31, 2010
Deactivation Date: November 24, 2021

Mailing Address

6997 Hazelgreen Rd Ne

Salem, OR 973059505

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.