Individual provider Active NPI

Leah Conchieri

  • Physical Therapist
  • Springfield, OR
National Provider Identifier
1225413263
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-61173 Issued in OR
Practice address
2728 Pheasant Blvd Ste 100
Springfield, OR 97477-7509
Phone
(541) 736-8870
Fax
(541) 736-8860
NPI assigned
Jul 20, 2015
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-61173 OR Primary

Addresses

Primary practice location

2728 Pheasant Blvd Ste 100
Springfield, OR 97477-7509

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835

Other identifiers 2

IdentifierTypeStateIssuer
P01742038OtherORRR MEDICARE
500691138MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003379 OR Practitioner - Physical Therapist in Private Practice 6406161694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Physical Therapy and Wellness Center IncGroup PAC ID 5799835435, 8 clinicians

Practice addresses (Care Compare)

2546 NE Conners Ave
Suite 110
Bend, OR 97701-6761
Phone (541) 382-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-61173ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Jun 7, 2021 Accepting new patients
Alpine Physical Therapy and Wellness Center Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 13, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 13, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

2546 NE Conners Ave
Ste 110
Bend, OR 97701
Phone (541) 382-5500

336 SW Cyber Dr
Ste 107
Bend, OR 97702
Phone (541) 382-5500

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194

1307 NE 102nd Ave
Ste G
Portland, OR 97220
Phone (503) 253-0924

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

2728 Pheasant Blvd
Ste 100
Springfield, OR 97477
Phone (541) 654-5400

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1225413263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 PHEASANT BLVD STE 100",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777509",
            "telephone_number": "541-736-8870",
            "fax_number": "541-736-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHIERI",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "PT-61173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01742038",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691138",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.