Laura Jo Hardebeck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2356 Issued in OR

Practice address

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933

Phone

(503) 214-5200

Fax

(503) 906-1519

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

No

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.

• Orthopedic & Fracture Clinic PC

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1285683656

  OR

  Medicare reassignment Care Compare group NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Ashland, OR
  • NPI 1972589364

  OR, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1497731244
  Medicare reassignment Care Compare group NPD
• New Proactive LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  OR, Physical Therapist

  Medicare reassignment NPD
• Therapeutic Associates, Inc

  • Physical Therapist
  • Bend, OR
  • NPI 1659688778
  Care Compare group
• Therapeutic Associates, Inc

  • Physical Therapist
  • Redmond, OR
  • NPI 1922315043
  Care Compare group
• Therapeutic Associates Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1487630240
  Care Compare group
• Orthopedic & Fracture Clinic PC

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1871050153
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1760648950
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Tacoma, WA
  • NPI 1003526757
  NPD
• Omnis Omnia Inc.

  • Orthopedic Physical Therapist
  • Redmond, OR
  • NPI 1013949239
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Fracture Clinic PC 56 clinicians

Therapeutic Associates Inc 319 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

54.33 of 100Reported as group

Quality

57.12

Promoting interoperability

0

Improvement activities

30

Cost

86.48

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.hardebeck.1@31414.direct.athenahealth.com

• Laura Jo Coffin Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2021.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1235106014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "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": "11782 SW BARNES RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255933",
            "telephone_number": "503-214-5200",
            "fax_number": "503-906-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEBECK",
        "first_name": "LAURA",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2356",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052154",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00022831",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0328996",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00022831",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L& I",
            "identifier": "0257960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "COFFIN",
            "middle_name": "JO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas David Harburg, M.D.
• Kip Marilyn Hard, DC, L.AC
• Jontae Malik Hardaway
• Michelle Marie Hardaway, MSW
• Tina Hardaway
• Harden Chiropractic PC
• Leanne Harden, LMT, CA
• William E Harden, D.C.
• Stephen Mark Hardenbergh, L.AC.
• Angela Harder, LPN

• All providers in Portland, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.