Active NPI
Aimee L Havens, DPT
- Physical Therapist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61157
- Practice address
- 1815 14TH Ave SE
Albany, OR 97322-8502 - Phone
- (541) 754-1265
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1260143 | TX | |
| Physical Therapist | 225100000X | 61157 | OR | Primary |
Addresses
Primary practice location
1815 14TH Ave SE
Albany, OR 97322-8502
Mailing address
444Nwelks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150921001213 | OR | Practitioner - Physical Therapist in Private Practice | 8022325281 | Reassigns benefits to 1 organization |
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
- The Corvallis Clinic P C
Practice addresses (Care Compare)
1705 Waverly Dr SE
Albany, OR 97322-6952
Phone (541) 754-1150
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 84.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61157 | OR | MD | Physical Therapist |
| 1260143 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corvallis Clinic PC | Current | Accepting new patients | |
| The Corvallis Clinic P C | Physical Therapist | Current | Accepting new patients |
Locations
1705 Waverly Dr SE
Albany, OR 97322
Phone (541) 248-2023
1815 14th Ave SE
Albany, OR 97322
Phone (541) 547-1369
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
2350 NW Century Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1265
Interoperability endpoints
- aimee.casemier.1@14349.direct.athenahealth.com
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Corvallis, OR
- NPI 1649227265
OR, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1124892831
-
- Durable Medical Equipment & Medical Supplies
- Albany, OR
- NPI 1316711021
-
- Ambulatory Surgical Clinic/Center
- Corvallis, OR
- NPI 1881850386
-
- Durable Medical Equipment & Medical Supplies
- Philomath, OR
- NPI 1932973641
-
- Clinical Medical Laboratory
- Corvallis, OR
- NPI 1699921296
-
- Durable Medical Equipment & Medical Supplies
- Albany, OR
- NPI 1093589798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1508240474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444NWELKS DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303745",
"telephone_number": "541-754-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 14TH AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973228502",
"telephone_number": "541-754-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "AIMEE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1260143",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.