Individual provider Active NPI

Asiya Akhgar, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1881173755
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62775 Issued in OR
Practice address
3007 NE Emerson St
Portland, OR 97211-6905
Phone
(503) 213-9423
Fax
(503) 210-9423
NPI assigned
Aug 10, 2018
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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 62775 OR Primary

Addresses

Primary practice location

3007 NE Emerson St
Portland, OR 97211-6905

Mailing address

1604 NE 52ND Ave
Portland, OR 97213-2726
Phone (503) 213-9423

Other identifiers 1

IdentifierTypeStateIssuer
500750572MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107001166 OR Practitioner - Physical Therapist in Private Practice 8729332978 Reassigns benefits to 1 organization
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3007 NE Emerson St
Portland, OR 97211-6905
Phone (503) 213-9423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62775ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Fit for Life Physical Therapy Physical Therapist CurrentSince Jul 21, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

3007 NE Emerson St
Portland, OR 97211
Phone (503) 213-9423

4040 NE Fremont St
Portland, OR 97212
Phone (503) 287-6199

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Organizations & group practices 6

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1881173755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 NE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132726",
            "telephone_number": "503-213-9423",
            "fax_number": "503-210-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 NE EMERSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116905",
            "telephone_number": "503-213-9423",
            "fax_number": "503-210-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHGAR",
        "first_name": "ASIYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500750572",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

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