Individual provider Active NPI

Rose Elena Ahearn, PT

  • Orthopedic Physical Therapist
  • Eugene, OR
National Provider Identifier
1720037625
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
61678 Issued in OR
Practice address
1029 River Rd
Eugene, OR 97404-3242
Phone
(503) 972-0235
NPI assigned
May 8, 2006
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 61678 OR Primary

Addresses

Primary practice location

1029 River Rd
Eugene, OR 97404-3242

Mailing address

45 E 31St Ave
Eugene, OR 97405-3736
Phone (845) 699-3392

Other practice location 1

45 E 31st Ave
Eugene, OR 97405-3736
Phone (845) 699-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61678ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients
Rose Ahearn PT PC Past Accepting new patients

Organizations & group practices 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1720037625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E 31ST AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053736",
            "telephone_number": "845-699-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "503-972-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 E 31st Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974053736",
            "country_code": "US",
            "telephone_number": "845-699-3392",
            "fax_number": "503-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "ROSE",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "61678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.