LISA WOODWORTH (OT) – Physical Rehabilitation Occupational Therapist, NPI 1033694674

LISA WOODWORTH (OT) is a healthcare provider. based in Portland, Oregon. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 982232 (OR). The NPI Number for LISA WOODWORTH (OT) is 1033694674

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LISA WOODWORTH (OT)
NPI
1033694674
Phone
(503) 201-8286
Address
19860 NW METOLIUS DR
Enumeration Date
29 September 2018
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032145200
Graduation Year
1992 (34 years ago)
PAC ID
0840777181
Group Practice PAC ID
1052219953
Professional Enrollment ID
I20260116003228
Address ID
OR972255933PO11782RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for LISA WOODWORTH (OT)

  • 19860, Northwest Metolius Drive, Rock Creek, West Union, Portland, Metro, Washington County, Oregon, 97229, United States

    PORTLAND, OR 972292864

    Phone: (503) 201-8286

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256683

    Phone: (503) 216-2610

    Type: Location

  • 14795 SW Murray Scholls Dr

    Beaverton, OR 970079713

    Phone: (503) 214-5200

    Fax: (503) 906-6613

    Type: Location

  • 11782 SW BARNES RD STE 100

    PORTLAND, OR 972255931

    Phone: (503) 214-5200

    Fax: (503) 906-6613

    Type: Mailing

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: 2026-01-16

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
I20260116003228IOccupational 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 97229)

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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: 1052219953View full group profile
NameSpecialtyState
Family PracticeAL
Physician AssistantCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physician AssistantOR
Occupational Therapist In Private PracticeOR
Physician AssistantMA
Physical Medicine And RehabilitationOR
Orthopedic SurgeryOR
Hand Surgery, Orthopedic SurgeryOR

Reviews

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Frequently asked questions

What is the registry number for LISA WOODWORTH (OT)?
The registry entry for LISA WOODWORTH (OT) shows NPI 1033694674.
Is LISA WOODWORTH (OT)'s NPI status active today?
Active status means LISA WOODWORTH (OT)'s NPI record is not deactivated in the public file.
What type of care does LISA WOODWORTH (OT) provide?
LISA WOODWORTH (OT)'s profile centers on Physical Rehabilitation Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to LISA WOODWORTH (OT)?
The directory associates LISA WOODWORTH (OT) with Portland, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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