Individual provider Active NPI

Elizabeth Geerdes, PT

  • Physical Therapist
  • Redmond, OR
National Provider Identifier
1942991583
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64931 Issued in OR
Practice address
450 NW Greenwood Ave
Redmond, OR 97756-1531
Phone
(541) 923-0410
Fax
(541) 923-7393
NPI assigned
May 16, 2023
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64931 OR Primary
Physical Therapist 225100000X 9571747 ID

Addresses

Primary practice location

450 NW Greenwood Ave
Redmond, OR 97756-1531

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (334) 231-5364

Other practice location 1

940 W Ironwood Dr Ste A
Coeur D Alene, ID 83814-2486
Phone (208) 625-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230526000536 OR Practitioner - Physical Therapist in Private Practice 7012374507 Reassigns benefits to 2 organizations
I20260520001408 ID Practitioner - Physical Therapist in Private Practice 7012374507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9571747IDMDPhysical Therapist
64931ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Omnia Inc. CurrentSince May 18, 2023 Accepting new patients
Compass Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
New Proactive LLC Physical Therapist CurrentSince May 18, 2023 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

915 NE 7th St
Ste 1
Bend, OR 97701
Phone (541) 322-6197

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1942991583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "334-231-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GREENWOOD AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561531",
            "telephone_number": "541-923-0410",
            "fax_number": "541-923-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Ironwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142486",
            "country_code": "US",
            "telephone_number": "208-625-5311",
            "fax_number": "208-625-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEERDES",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64931",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "9571747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.