Active NPI
Fahrueldin Ebed, DPT
- Physical Therapist
- Hillsboro, OR
National Provider Identifier
1972026607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62114
- Practice address
- 5262 NE Brookwood Pkwy
Hillsboro, OR 97124-5345 - Phone
- (503) 395-3000
- NPI assigned
- Jul 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62114 | OR | Primary |
| Physical Therapist | 225100000X | 43985 | NY | |
| Physical Therapist | 225100000X | 293069 | CA | |
| Physical Therapist | 225100000X | CP008372T | CO | |
| Physical Therapist | 225100000X | CP008371T | UT |
Addresses
Primary practice location
5262 NE Brookwood Pkwy
Hillsboro, OR 97124-5345
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.22 of 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293069 | CA | MD | Physical Therapist |
| CP008372T | CO | MD | Physical Therapist |
| 43985 | NY | MD | Physical Therapist |
| 62114 | OR | MD | Physical Therapist |
| CP008371T | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
5262 NE Brookwood Pkwy
Hillsboro, OR 97124
Phone (503) 395-3000
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
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 and National Provider Directory roles.
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1972026607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5262 NE BROOKWOOD PKWY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245345",
"telephone_number": "503-395-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBED",
"first_name": "FAHRUELDIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62114",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "43985",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293069",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP008372T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "CP008371T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.