NICOLE TODISCO MACDONALD (PT) – Physical Therapist, NPI 1285127571

NICOLE TODISCO MACDONALD (PT) is a healthcare provider. based in Lake oswego, Oregon. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 62809 (OR). The NPI Number for NICOLE TODISCO MACDONALD (PT) is 1285127571

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE TODISCO MACDONALD (PT)
NPI
1285127571
Phone
(503) 635-0844
Address
17355 BOONES FERRY RD STE B
Enumeration Date
11 June 2018
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065477445
Graduation Year
2018 (8 years ago)
PAC ID
1456608710
Group Practice PAC ID
9234432014
Professional Enrollment ID
I20191202002551
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE TODISCO MACDONALD (PT)

  • Boones Ferry Road, Waluga, Lake Oswego, Metro, Clackamas County, Oregon, 97035-2557, United States

    LAKE OSWEGO, OR 97035

    Phone: (503) 635-0844

    Fax: (503) 635-0812

    Type: Location

  • Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97035, United States

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • 17355 Boones Ferry Rd Ste B

    Lake Oswego, OR 97035

    Phone: (503) 635-0844

    Fax: (503) 635-0812

    Type: Location

  • 1645 NE SHEPARD RD

    BEND, OR 977014164

    Phone: (802) 318-2254

    Type: Mailing

  • 345 SW CYBER DR STE 104

    BEND, OR 977021045

    Phone: (802) 318-2254

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 97035)

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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: 9234432014View full group profile
NameSpecialtyState
-NJ
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

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Frequently asked questions

What federal number belongs to NICOLE TODISCO MACDONALD (PT)?
The federal identifier for NICOLE TODISCO MACDONALD (PT) is NPI 1285127571.
Is NICOLE TODISCO MACDONALD (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NICOLE TODISCO MACDONALD (PT)?
The page reflects Physical Therapist for NICOLE TODISCO MACDONALD (PT). Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE TODISCO MACDONALD (PT)?
The snapshot lists Lake Oswego, Oregon for NICOLE TODISCO MACDONALD (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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