Active NPI
Patricia Ann Aarestad, R.P.T.
- Physical Therapist
- Ontario, OR
National Provider Identifier
1740356500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0532
- Practice address
- 198 S Oregon St
Ontario, OR 97914-2808 - Phone
- (541) 881-1507
- Fax
- (541) 889-0417
- NPI assigned
- Nov 25, 2006
- Last updated
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0532 | OR | Primary |
Addresses
Primary practice location
198 S Oregon St
Ontario, OR 97914-2808
Mailing address
PO Box 237
Ontario, OR 97914-0237
Phone (541) 881-1507
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206367 | Medicaid | OR | |
| 004513000 | Other | OR | BLUE CROSS BLUE SHIELD |
| 805760700 | Medicaid | ID |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0532 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ontario Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1740356500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979140237",
"telephone_number": "541-881-1507",
"fax_number": "541-889-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S OREGON ST",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142808",
"telephone_number": "541-881-1507",
"fax_number": "541-889-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AARESTAD",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206367",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "004513000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805760700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.