Individual provider Active NPI

Aurora Christine Walsh, PT, DPT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1508641911
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65500 Issued in OR
Practice address
3925 SW 153Rd Dr Ste 210
Beaverton, OR 97003-4176
Phone
(971) 727-8155
Fax
(971) 727-8179
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 1382760 TX
Physical Therapist 225100000X 65500 OR Primary

Addresses

Primary practice location

3925 SW 153Rd Dr Ste 210
Beaverton, OR 97003-4176

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

6750 N MacArthur Blvd Ste 102
Irving, TX 75039-2875
Phone (945) 212-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231019003643 TX Practitioner - Physical Therapist in Private Practice 4284080748 Reassigns benefits to 1 organization
I20241015004189 OR Practitioner - Physical Therapist in Private Practice 4284080748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

3925 SW 153Rd Dr
Suite 210
Beaverton, OR 97003-4176
Phone (971) 727-8155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1382760TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients

Locations

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

3925 SW 153rd Dr
Ste 210
Beaverton, OR 97003
Phone (503) 644-0600

2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

6750 N MacArthur Blvd
Ste 102
Irving, TX 75039
Phone (945) 212-0030

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1508641911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SW 153RD DR STE 210",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034176",
            "telephone_number": "971-727-8155",
            "fax_number": "971-727-8179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 N MacArthur Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392875",
            "country_code": "US",
            "telephone_number": "945-212-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "AURORA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1382760",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.