Amanda Laron, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64408 Issued in OR

Practice address

20510 SW Roy Rogers Rd Ste 120
Sherwood, OR 97140-9320

Phone

(971) 213-3335

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stratos Group LLC

  dba Evolve Physical Therapy

  • Physical Therapist
  • Sherwood, OR
  • NPI 1528404324
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1538801584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD STE 120",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "971-213-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 SW ROY ROGERS RD STE 120",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409320",
            "telephone_number": "971-213-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARON",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ptevolve.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "20510 SW Roy Rogers Rd Ste 120",
            "city": "Sherwood",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971409320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristine Kuntzelman, LMT
• Kathleen Marie Labavitch, LMT
• Wendy Yvonne Laborie, M.D.
• Maria Arceli Lodivero Lagunero, RBT
• Travis Laloli, ATC-R
• Melinda Eileen Laus, LPC
• Krista Suzanne Lawless, MA, LPC
• Patricia Marie Leblanc, PHYSICAL THERAPIST
• Barbara Leitzinger
• Ian M Lentz, DO

• Physical Therapist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.