Unknown Individual – Physical Therapist, NPI 1194708057

Unknown Individual is a healthcare provider. based in Tigard, Oregon. specializing in Physical Therapist. They hold a License No. 0852 (OR). The NPI Number for Unknown Individual is 1194708057

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194708057
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD
Deactivation Date
18 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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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

  • Southern Sisters Embroidery & Gifts, 2023, Grayson Highway, Grayson, Gwinnett County, Georgia, 30017, United States

    TAI CENTRAL OREGON SISTERS

    SISTERS, OR 977591947

    Phone: (541) 849-3574

    Fax: (541) 388-7785

    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.

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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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1194708057.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Tigard, Oregon?
If you are local to Tigard, Oregon, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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