MISS SHELLIE MARIE LYDEN (PT) – Occupational Therapist, NPI 1902016025
Occupational Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS SHELLIE MARIE LYDEN (PT)
9205 SW Barnes Rd
Portland, OR 972256603
Phone: (503) 216-2331
Type: Location
118 NW KING AVE APT A
PORTLAND, OR 972105522
Phone: (503) 201-4092
Type: Mailing
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972256603
Phone: (503) 216-2331
Type: Location
8040 E MILL PLAIN BLVD
VANCOUVER, WA 986642002
Phone: (360) 882-2778
Type: Location
PO BOX 4825
PORTLAND, OR 972084825
Phone: (360) 882-2778
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 ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210512002851 | I | Physical Therapist In Private Practice | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 163 | 25 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 96 | 20 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 65 | 13 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 31 | 28 | $0 |
Insurance plans in this area (ZIP 97225)
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