Healthcare Provider Details

I. General information

NPI: 1326811621
Provider Name (Legal Business Name): BEYOND PHYSIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 2ND AVE STE 103
EUGENE OR
97401-2452
US

IV. Provider business mailing address

2285 SILHOUETTE ST
EUGENE OR
97402-1196
US

V. Phone/Fax

Practice location:
  • Phone: 541-972-3284
  • Fax:
Mailing address:
  • Phone: 541-972-3284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BETH TEMPLETON LEMMON
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 541-972-3284