MS. PATTI LEE HENRY (PT) – Orthopedic Physical Therapist, NPI 1417140930
Orthopedic Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. PATTI LEE HENRY (PT)
19185 SW 90TH AVE
TUALATIN, OR 970627558
Phone: (800) 813-2000
Type: Location
Meadows Road, Holly Orchard, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
LAKE OSWEGO, OR 970352542
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Location
Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
VANCOUVER, WA 986643295
Phone: (360) 254-6161
Fax: (360) 449-1146
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140320001748 | I | Physical Therapist In Private Practice | WA | TBD |
| I20181109000424 | I | Physical Therapist In Private Practice | OR | TBD |
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.
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 97062)
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