OLIVIA NICOLE BARTLETT (DPT, PT) – Physical Therapist, NPI 1134015746

OLIVIA NICOLE BARTLETT (DPT, PT) is a healthcare provider. based in Clackamas, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. They hold a License No. 65778 (OR). The NPI Number for OLIVIA NICOLE BARTLETT (DPT, PT) is 1134015746

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
OLIVIA NICOLE BARTLETT (DPT, PT)
NPI
1134015746
Phone
(503) 990-6393
Address
10121 SE SUNNYSIDE RD STE 208
Enumeration Date
18 June 2025
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039906393
Graduation Year
2025 (1 year ago)
PAC ID
3173023082
Group Practice PAC ID
7517115579
Professional Enrollment ID
I20250825003275
Address ID
OR973021172SA3871XSEXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for OLIVIA NICOLE BARTLETT (DPT, PT)

  • 10121 SE SUNNYSIDE RD STE 208

    CLACKAMAS, OR 970155750

    Phone: (503) 990-6393

    Fax: (503) 212-0414

    Type: Mailing

  • 3871 FAIRVIEW INDUSTRIAL DR SE STE 120

    SALEM, OR 973021172

    Phone: (503) 990-6393

    Fax: (503) 212-0414

    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: 2025-08-25

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
I20250825003275IPhysical 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 97015)

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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: 7517115579View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What number should I use to identify OLIVIA NICOLE BARTLETT (DPT, PT) for billing?
Administrative and clinical systems typically use NPI 1134015746 for OLIVIA NICOLE BARTLETT (DPT, PT).
Quick check: is OLIVIA NICOLE BARTLETT (DPT, PT) active?
Public NPPES data shows OLIVIA NICOLE BARTLETT (DPT, PT) with an active NPI status right now.
What services align with OLIVIA NICOLE BARTLETT (DPT, PT)'s listing?
OLIVIA NICOLE BARTLETT (DPT, PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to OLIVIA NICOLE BARTLETT (DPT, PT)?
OLIVIA NICOLE BARTLETT (DPT, PT) shows a connection to Clackamas, Oregon in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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