AMY LEIGH OUELLETTE (DPT) – Pediatric Physical Therapist, NPI 1053383430

AMY LEIGH OUELLETTE (DPT) is a healthcare provider. based in Newberg, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5105 (OR). The NPI Number for AMY LEIGH OUELLETTE (DPT) is 1053383430

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
AMY LEIGH OUELLETTE (DPT)
NPI
1053383430
Phone
(503) 537-7070
Address
700 DEBORAH RD
Enumeration Date
1 February 2006
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035388952
Graduation Year
2005 (21 years ago)
PAC ID
7214107531
Group Practice PAC ID
2769455344
Professional Enrollment ID
I20110824000369
Address ID
OR971322102NE118XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for AMY LEIGH OUELLETTE (DPT)

  • 700, Deborah Road, Springbrook, Newberg, Yamhill County, Oregon, 97132, United States

    STE 190B

    NEWBERG, OR 971322198

    Phone: (503) 537-7070

    Fax: (503) 217-7176

    Type: Location

  • 835, Southeast Locust Street, Dundee, Yamhill County, Oregon, 97115, United States

    DUNDEE, OR 971158601

    Phone: (541) 399-6961

    Type: Mailing

  • 21178 SW LADYFERN DR

    SHERWOOD, OR 971408955

    Phone: (541) 399-6961

    Fax: (503) 405-7448

    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: 2011-08-24

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
I20110824000369IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities16511$0
View full utilization report →

Insurance plans in this area (ZIP 97132)

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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: 2769455344View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Does AMY LEIGH OUELLETTE (DPT) have a public NPI I can cite?
Public records show AMY LEIGH OUELLETTE (DPT) under NPI 1053383430.
Does the public listing show AMY LEIGH OUELLETTE (DPT) as active?
AMY LEIGH OUELLETTE (DPT)'s NPI record reflects an active status in NPPES.
What type of care does AMY LEIGH OUELLETTE (DPT) provide?
AMY LEIGH OUELLETTE (DPT)'s profile centers on Pediatric Physical Therapist. Clinical services aligned with this taxonomy classification.
Is AMY LEIGH OUELLETTE (DPT) tied to Newberg, Oregon?
If you are local to Newberg, Oregon, AMY LEIGH OUELLETTE (DPT) may be relevant to your search.
Who maintains AMY LEIGH OUELLETTE (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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