Individual provider Active NPI

Laura Ahmed, PT, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1285167650
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63139 Issued in OR
Practice address
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone
(541) 316-0805
Fax
(541) 241-7670
NPI assigned
Apr 4, 2017
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208081 VA
Physical Therapist 225100000X 63139 OR Primary

Addresses

Primary practice location

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560

Mailing address

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone (541) 316-0805

Other practice location 1

392 W Main Ave
Sisters, OR 97759-0439
Phone (541) 316-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508000219 OR Practitioner - Physical Therapist in Private Practice 8325380520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Physical Therapy LLCGroup PAC ID 1850707316, 7 clinicians

Practice addresses (Care Compare)

371 SW Upper Terrace Dr
Suite 3
Bend, OR 97702-1560
Phone (541) 316-0805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208081VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Jan 17, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Dec 11, 2019 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Dec 11, 2019 Accepting new patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

170 Scalehouse Loop
Ste 100
Bend, OR 97702
Phone (541) 316-0805

2185 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 728-0713

371 SW Upper Terrace Dr
Ste 3
Bend, OR 97702
Phone (541) 316-0805

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

Organizations & group practices 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1285167650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 W Main Ave",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977590439",
            "country_code": "US",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "LAURA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208081",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.