AUDREY R ELIAS (P.T.) – Physical Therapist, NPI 1689804957

AUDREY R ELIAS (P.T.) is a healthcare provider. based in Portland, Oregon. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. PT60095069 (WA). The NPI Number for AUDREY R ELIAS (P.T.) is 1689804957

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY R ELIAS (P.T.)
NPI
1689804957
Phone
(800) 219-8835
Address
11481 SW HALL BLVD
Enumeration Date
21 July 2009
Last Update Date
14 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062432405
Graduation Year
2009 (17 years ago)
PAC ID
7719032499
Group Practice PAC ID
7719899889
Professional Enrollment ID
I20130715000486
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for AUDREY R ELIAS (P.T.)

  • Portland Hindu Temple, 11515, Southwest Hall Boulevard, Greenburg Road, Tigard, Washington County, Oregon, 97223, United States

    SUITE 201

    PORTLAND, OR 972238403

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • Georgiana Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983624212

    Phone: (360) 452-6216

    Fax: (360) 452-8765

    Type: Location

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: 2013-07-15

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
I20130715000486IPhysical Therapist In Private PracticeMTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26113$0
View full utilization report →

Insurance plans in this area (ZIP 97223)

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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: 7719899889View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMN
-MT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT

Reviews

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Frequently asked questions

Does AUDREY R ELIAS (P.T.) have a public NPI I can cite?
Public records show AUDREY R ELIAS (P.T.) under NPI 1689804957.
Should I treat AUDREY R ELIAS (P.T.) as an active provider?
Patients and plans typically see AUDREY R ELIAS (P.T.) as active in the national extract.
Which specialty label fits AUDREY R ELIAS (P.T.)?
NPPES ties AUDREY R ELIAS (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AUDREY R ELIAS (P.T.)?
AUDREY R ELIAS (P.T.) is associated with Portland, Oregon in the same public data insurers reference.
Why is information missing for AUDREY R ELIAS (P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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