CONNECT PHYSICAL THERAPY, LLC
NPI 1023386257
Clinic/Center - Physical Therapy in Tigard, OR

Active since December 02, 2011
12540 SW 68TH AVE, TIGARD, OR 97223(503) 974-9078(503) 974-9083 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connect Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECT PHYSICAL THERAPY, LLC (NPI 1023386257) is a healthcare organization registered as a physical therapy in Tigard, Oregon and active in the NPI registry since December 2011. The organization lists Diane O. Shiffer, Owner, as its authorized official.

NPPES Registry Identity

NPI1023386257
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameCONNECT PHYSICAL THERAPY, LLC
Location Address12540 SW 68TH AVETigard, OR 97223-8597
Mailing Address12540 Sw 68th AveTigard, OR 97223-8597 · (503) 974-9078 · Fax (503) 974-9083
Fax(503) 974-9083
Organization SubpartNo
Authorized OfficialDiane O. ShifferOwner · (503) 974-9078
Enumeration DateDecember 2, 2011
Last NPPES UpdateMay 30, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1023386257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in OR · 1330
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
12540 SW 68TH AVE, Tigard, OR 97223

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connect Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Connect Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Physical Therapist in Private Practice
NPI 1518011238
12540 SW 68TH AVE
Tigard, OR 97223
(503) 974-9078
Same address
Physical Therapist in Private Practice
NPI 1225430002
12540 SW 68TH AVE.
Tigard, OR 97223
(503) 974-9078
Same address
Physical Therapist in Private Practice
NPI 1598708919
12540 SW 68TH AVE
Tigard, OR 97223
(503) 974-9078
Same address
Physical Therapist in Private Practice
NPI 1780795120
12540 SW 68TH AVE
Tigard, OR 97223
(503) 974-9078
Same address
Physical Therapist in Private Practice
NPI 1700903127
17120 PILKINGTON RD
Lake Oswego, OR 97035
(503) 768-9873
2.0 mi
Physical Therapist in Private Practice
NPI 1164635116
17120 PILKINGTON RD
Lake Oswego, OR 97035
(503) 974-9083
2.0 mi
Physical Therapist in Private Practice
NPI 1548312655
17120 PILKINGTON RD
Lake Oswego, OR 97035
(503) 974-9078
2.0 mi
Physical Therapist in Private Practice
NPI 1942571658
18906 KRISTI WAY
Lake Oswego, OR 97035
(503) 620-5496
2.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connect Physical Therapy, LLC's NPI number?

The NPI number for Connect Physical Therapy, LLC is 1023386257. It was assigned to this organization in the NPPES registry on December 2, 2011.

Where is Connect Physical Therapy, LLC located?

Connect Physical Therapy, LLC is located at 12540 SW 68th Ave, Tigard, OR 97223. The listed phone number is (503) 974-9078.

What is Connect Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Connect Physical Therapy, LLC enrolled in Medicare?

Yes. Connect Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connect Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Connect Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Connect Physical Therapy, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Connect Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connect Physical Therapy, LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.