SUSAN WEEDALL (P.T.) – Physical Therapist, NPI 1962594960

SUSAN WEEDALL (P.T.) is a healthcare provider. based in Lake oswego, Oregon. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 1294 (OR). The NPI Number for SUSAN WEEDALL (P.T.) is 1962594960

Main info

Female
45 Years Of Experience
Name
SUSAN WEEDALL (P.T.)
NPI
1962594960
Phone
(503) 974-9078
Address
17120 PILKINGTON RD STE 215
Enumeration Date
28 September 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039749078
Graduation Year
1981 (45 years ago)
PAC ID
9537165840
Group Practice PAC ID
9537302245
Professional Enrollment ID
I20061010000477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for SUSAN WEEDALL (P.T.)

  • 17120 PILKINGTON RD STE 215

    LAKE OSWEGO, OR 970355353

    Phone: (503) 974-9078

    Fax: (503) 620-2410

    Type: Mailing

  • 17120 PILKINGTON RD

    LAKE OSWEGO, OR 970355353

    Phone: (503) 974-9078

    Type: Location

  • Micro-Pak, 7421, Southwest Bridgeport Road, Tigard, Metro, Washington County, Oregon, 97224, United States

    SUITE 215

    TIGARD, OR 972247707

    Phone: (503) 620-2400

    Fax: (503) 620-2410

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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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: 9537302245View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

How is SUSAN WEEDALL (P.T.) identified in CMS data?
CMS-hosted NPPES data lists SUSAN WEEDALL (P.T.) with NPI 1962594960.
Can I rely on SUSAN WEEDALL (P.T.) being an active provider?
As of the registry snapshot, SUSAN WEEDALL (P.T.) is marked active.
What is SUSAN WEEDALL (P.T.)'s primary classification?
Physical Therapist is the headline specialty for SUSAN WEEDALL (P.T.) here. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN WEEDALL (P.T.)?
SUSAN WEEDALL (P.T.)'s geographic hint is Lake Oswego, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.