Individual provider Active NPI

Aurora F Fry, PT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1912245689
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60039 Issued in OR
Practice address
1160 SW Simpson Ave Ste 200
Bend, OR 97702-3542
Phone
(541) 322-9045
Fax
(541) 322-9044
NPI assigned
Jan 30, 2013
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 60039 OR Primary

Addresses

Primary practice location

1160 SW Simpson Ave Ste 200
Bend, OR 97702-3542

Mailing address

805 SW Industrial Way Ste 3
Bend, OR 97702-1093
Phone (541) 585-2529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000851 OR Practitioner - Physical Therapist in Private Practice 4688815699 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60039ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients
Gomez Physical Therapy LLC CurrentSince Aug 14, 2022 Accepting new patients
Andrew Physical Therapy, Inc CurrentSince Mar 1, 2013 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

145 N Main St
Ashland, OR 97520
Phone (541) 708-1888

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

1160 SW Simpson Ave
Ste 200
Bend, OR 97702
Phone (541) 322-9045

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

2025 NE Baker St
Ste A
McMinnville, OR 97128
Phone (503) 435-1900

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

Organizations & group practices 5

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1912245689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-585-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SW SIMPSON AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023542",
            "telephone_number": "541-322-9045",
            "fax_number": "541-322-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "AURORA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.