Individual provider Active NPI

Aaron Michael Frye, M.S.P.T.

  • Orthopedic Physical Therapist
  • Forest Grove, OR
National Provider Identifier
1124128764
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3440 Issued in OR
Practice address
4150 Pacific Ave
Ste 100
Forest Grove, OR 97116-2786
Phone
(503) 357-1706
Fax
(503) 270-5023
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3440 OR Primary

Addresses

Primary practice location

4150 Pacific Ave
Ste 100
Forest Grove, OR 97116-2786

Mailing address

4150 Pacific Ave
Ste 100
Forest Grove, OR 97116-2786
Phone (503) 357-1706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000695 OR Practitioner - Physical Therapist in Private Practice 9638273881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Care Physical Therapy, LLCGroup PAC ID 0941365514, 5 clinicians

Practice addresses (Care Compare)

3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone (503) 357-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3440ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Care Physical Therapy, LLC. CurrentSince Dec 1, 2008 Accepting new patients
Chehalem Physical Therapy, Inc. PastSince Apr 1, 1999 Accepting new patients
Babbitt Chiropractic PastSince Jun 17, 2013 Accepting new patients

Locations

4150 Pacific Ave
Ste 100
Forest Grove, OR 97116
Phone (503) 357-1706

3838 Pacific Ave
Forest Grove, OR 97116
Phone (503) 357-1706

2329 Pacific Ave
Forest Grove, OR 97116
Phone (503) 357-1706

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1124128764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 PACIFIC AVE",
            "address_2": "STE 100",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162786",
            "telephone_number": "503-357-1706",
            "fax_number": "503-270-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 PACIFIC AVE",
            "address_2": "STE 100",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162786",
            "telephone_number": "503-357-1706",
            "fax_number": "503-270-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.