Individual provider Active NPI

Alexandra Gehlen, PT, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1760979843
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
516 SW 13TH St Ste 102
Bend, OR 97702-3442
Phone
(708) 601-3497
NPI assigned
Apr 15, 2018
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

516 SW 13TH St Ste 102
Bend, OR 97702-3442

Mailing address

516 SW 13TH St Ste 102
Bend, OR 97702-3442
Phone (708) 601-3497

Other practice location 1

170 SW Scalehouse Loop Ste 100
Bend, OR 97702-1255
Phone (541) 316-0805

Other practice location 2

2185 NW Shevlin Park Rd
Bend, OR 97703-7101
Phone (541) 728-0713

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atepoorten@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023003182 OR Practitioner - Physical Therapist in Private Practice 9739427162 Reassigns benefits to 2 organizations
Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trivium WellnessGroup PAC ID 4880043272, 3 clinicians

Practice addresses (Care Compare)

360 SW Bond St
Suite 130
Bend, OR 97702-3540
Phone (708) 601-3497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trivium Wellness CurrentSince Jan 1, 2024 Accepting new patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Mar 23, 2022 Accepting new patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

170 Scalehouse Loop
Ste 100
Bend, OR 97702
Phone (541) 316-0805

360 SW Bond St
Ste 130
Bend, OR 97702
Phone (541) 316-0604

371 SW Upper Terrace Dr
Ste 3
Bend, OR 97702
Phone (541) 316-0805

516 SW 13th St
Ste 102
Bend, OR 97702
Phone (541) 728-0689

Organizations & group practices 4

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1760979843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "708-601-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "708-601-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 SW Scalehouse Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021255",
            "country_code": "US",
            "telephone_number": "541-316-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2185 NW Shevlin Park Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977037101",
            "country_code": "US",
            "telephone_number": "541-728-0713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHLEN",
        "first_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atepoorten@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "516 SW 13th St Ste 102",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977023442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.