Unknown Individual – Physical Therapist, NPI 1437133493

Unknown Individual is a healthcare provider. based in Tigard, Oregon. specializing in Physical Therapist. They hold a License No. 0897 (WA). The NPI Number for Unknown Individual is 1437133493

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437133493
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256726400
Graduation Year
1979 (47 years ago)
PAC ID
6002906641
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20100511000781

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience22
Completeness85
Years active:0State licenses:3Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States of America

    STE 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • 2611, Northeast 125th Street, Lake City, Seattle, King County, Washington, 98125, United States

    STE 140

    SEATTLE, WA 981254373

    Phone: (206) 361-4745

    Fax: (206) 361-4877

    Type: Location

  • 20200 54TH AVE W

    LYNNWOOD, WA 980366318

    Phone: (425) 672-6400

    Type: Mailing

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.

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

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 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: 9032022579View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1437133493?
NPI 1437133493 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tigard?
Unknown Individual currently maps to Tigard, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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