MADISON LOSTRA (PT) – Physical Therapist, NPI 1053995936

MADISON LOSTRA (PT) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MADISON LOSTRA (PT) is 1053995936

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON LOSTRA (PT)
NPI
1053995936
Phone
(503) 443-6156
Address
16083 SW UPPER BOONES FERRY RD STE 300
Enumeration Date
7 May 2021
Last Update Date
7 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415156194
Graduation Year
2021 (5 years ago)
PAC ID
1456756949
Group Practice PAC ID
0042116279
Professional Enrollment ID
I20210820002976
Address ID
OR974084693EU2911XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for MADISON LOSTRA (PT)

  • 16083 SW UPPER BOONES FERRY RD STE 300

    PORTLAND, OR 972247736

    Phone: (503) 443-6156

    Type: Mailing

  • 2911 TENNYSON AVE STE 204

    EUGENE, OR 974084693

    Phone: (503) 443-6156

    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: 2021-08-20

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
I20210820002976IPhysical 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 activities59745$0
97140Therapy procedure using manual technique, each 15 minutes49743$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42244$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12729$0
97162Evaluation for physical therapy, typically 30 minutes3225$0
View full utilization report →

Insurance plans in this area (ZIP 97224)

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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: 0042116279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
-OR
-OR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR

Reviews

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Frequently asked questions

Where can patients find MADISON LOSTRA (PT)'s NPI?
You can confirm MADISON LOSTRA (PT) with NPI 1053995936; it appears in the national provider directory.
Does this profile mean MADISON LOSTRA (PT) is currently active?
Yes — MADISON LOSTRA (PT) appears active in the national provider directory.
Does MADISON LOSTRA (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MADISON LOSTRA (PT). Clinical services aligned with this taxonomy classification.
Where does public data place MADISON LOSTRA (PT)?
The snapshot lists Portland, Oregon for MADISON LOSTRA (PT); download NPPES for the complete set.
How can I contact MADISON LOSTRA (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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