RYLEE PITTULLO
NPI 1043146855
Physical Therapist in Gresham, OR

Active since June 19, 2026Accepts Medicare Assignment
25500 SE STARK ST STE 103, GRESHAM, OR 97030(503) 328-0222(503) 328-0223 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rylee Pittullo NPPES

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

RYLEE PITTULLO (NPI 1043146855) is an individual physical therapist in Gresham, Oregon, licensed in Oregon (66147) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1043146855
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameRYLEE PITTULLO
Location Address25500 SE STARK ST STE 103Gresham, OR 97030-8327
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005 · (726) 202-3039
Fax(503) 328-0223
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1043146855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in OR · 66147
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
25500 SE STARK ST STE 103, Gresham, OR 97030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rylee Pittullo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911470604
PECOS Enrollment IDI20260624002540

Medicare Billing Reassignment

Medicare enrollment records show Rylee Pittullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1630 BEAVERCREEK RD STE A
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
25500 SE STARK ST STE 103
GRESHAM, OR 97030

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 Rylee Pittullo's NPI number?

The NPI number for Rylee Pittullo is 1043146855. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Rylee Pittullo located?

Rylee Pittullo practices at 25500 SE Stark St Ste 103, Gresham, OR 97030. The listed phone number is (503) 328-0222.

What is Rylee Pittullo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Rylee Pittullo enrolled in Medicare?

Yes. Rylee Pittullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rylee Pittullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rylee Pittullo reassigns Medicare benefits to New Proactive LLC (Oregon City, OR). The 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 Rylee Pittullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rylee Pittullo accept?

Health plans from Moda Health Plan, Inc. list Rylee Pittullo 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 Rylee Pittullo was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.