EMILY NICOLE VAVROSKY (DPT) – Physical Therapist, NPI 1144779943

EMILY NICOLE VAVROSKY (DPT) is a healthcare provider. based in Tualatin, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. CP035076T (WA). The NPI Number for EMILY NICOLE VAVROSKY (DPT) is 1144779943

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EMILY NICOLE VAVROSKY (DPT)
NPI
1144779943
Phone
(503) 885-8677
Address
8100 SW Nyberg St
Enumeration Date
22 September 2016
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039121192
Graduation Year
2016 (10 years ago)
PAC ID
8426331364
Group Practice PAC ID
0143510602
Professional Enrollment ID
I20170220001177
Address ID
OR970308407GR283XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:9State licenses:3Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for EMILY NICOLE VAVROSKY (DPT)

  • 8100 SW Nyberg St

    Suite 130

    Tualatin, OR 970628438

    Phone: (503) 885-8677

    Type: Location

  • 308 N Ivy St

    Canby, OR 970133704

    Phone: (503) 263-6786

    Type: Location

  • 1905 SE 192nd Ave Ste 109

    Camas, WA 986077415

    Phone: (360) 210-5440

    Type: Location

  • 1505 NE 40th Ave Ste C

    Portland, OR 972321861

    Phone: (503) 210-1425

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 702-4389

    Type: Mailing

  • 283 NE 223RD AVE

    GRESHAM, OR 970308407

    Phone: (503) 912-1192

    Type: Location

  • PO BOX 578

    TROUTDALE, OR 970600578

    Phone:

    Type: Mailing

  • 308, North Ivy Street, Canby, Clackamas County, Oregon, 97013, United States

    CANBY, OR 970133704

    Phone: (503) 263-6786

    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: 2017-02-20

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
I20170220001177IPhysical 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 activities21019$0
97140Therapy procedure using manual technique, each 15 minutes19816$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7817$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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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: 0143510602View full group profile

Reviews

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Frequently asked questions

How do payers reference EMILY NICOLE VAVROSKY (DPT)?
For EMILY NICOLE VAVROSKY (DPT), use NPI 1144779943 as the unique 10-digit identifier.
Is EMILY NICOLE VAVROSKY (DPT) still an active registrant?
EMILY NICOLE VAVROSKY (DPT) carries an active NPI according to the public dataset.
What kind of doctor is EMILY NICOLE VAVROSKY (DPT)?
EMILY NICOLE VAVROSKY (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is EMILY NICOLE VAVROSKY (DPT) registered?
Use Tualatin, Oregon as the headline location for EMILY NICOLE VAVROSKY (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.