# ESSENTIAL PHYSICAL THERAPY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104210756
- **Authorized official:** MR. KEITH BLACKWELL PT (OWNER)
- **Authorized official phone:** (541) 870-9063

## Contact information

- **Practice address:** 120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401
- **Practice address phone:** (458) 210-2940
- **Practice address fax:** (541) 654-4680
- **Mailing address:** 120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401-8718
- **Mailing address phone:** (458) 210-2940
- **Mailing address fax:** (541) 654-4680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 03956 | OR | Yes |

## Other

- **Enumeration date:** 03/21/2015
- **Last updated:** 10/22/2019