Active NPI
Aria Rachel Assad, P.T., D.P.T.
- Physical Therapist
- Newberg, OR
National Provider Identifier
1083981005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60064
- Practice address
- 501 E 1St St
Newberg, OR 97132-2909 - Phone
- (949) 533-1641
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38415 | CA | |
| Physical Therapist | 225100000X | 60064 | OR | Primary |
Addresses
Primary practice location
501 E 1St St
Newberg, OR 97132-2909
Mailing address
712 E 5TH St
Newberg, OR 97132-3402
Phone (949) 533-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38415 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 60064 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy of Laguna-Viejo a Professional Corpor | Physical Therapist | Current | Accepting new patients |
Locations
24422 Avenida de la Carlota
Ste 370
Laguna Hills, CA 92653
Phone (949) 951-1969
26034 Acero
Mission Viejo, CA 92691
Phone (949) 837-9074
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Mission Viejo, CA
- NPI 1659452829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1083981005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 E 5TH ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323402",
"telephone_number": "949-533-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 1ST ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322909",
"telephone_number": "949-533-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSAD",
"first_name": "ARIA",
"middle_name": "RACHEL",
"credential": "P.T., D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38415",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.