OLIVIA AHO (DPT) – Physical Therapist, NPI 1003669292

OLIVIA AHO (DPT) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 65252 (OR). The NPI Number for OLIVIA AHO (DPT) is 1003669292

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA AHO (DPT)
NPI
1003669292
Phone
Not provided
Address
2808 E BURNSIDE ST
Enumeration Date
8 April 2024
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034774802
Graduation Year
2024 (2 years ago)
PAC ID
5597207902
Group Practice PAC ID
2264678226
Professional Enrollment ID
I20240612002973
Address ID
OR972141830PO2808XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for OLIVIA AHO (DPT)

  • 2808 E BURNSIDE ST

    PORTLAND, OR 972141830

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240612002973IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264678226View full group profile
NameSpecialtyState
-IL
-OR
Physical Therapist In Private PracticeMI
-CO
-CA
-OR
-WA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

How is OLIVIA AHO (DPT) identified in CMS data?
CMS-hosted NPPES data lists OLIVIA AHO (DPT) with NPI 1003669292.
Does CMS list OLIVIA AHO (DPT) as active?
Yes — OLIVIA AHO (DPT) is active in the NPI listing used on this page.
What is OLIVIA AHO (DPT)'s primary classification?
Physical Therapist is the headline specialty for OLIVIA AHO (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect OLIVIA AHO (DPT) on a map?
Expect Portland, Oregon as a primary anchor for OLIVIA AHO (DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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