AMY LEIGH OUELLETTE DPT
NPI 1053383430
Physical Therapist - Pediatrics in Sherwood, OR

Active since February 01, 2006Accepts Medicare Assignment
21178 SW LADYFERN DR, SHERWOOD, OR 97140(541) 399-6961(503) 405-7448 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Leigh Ouellette Dpt NPPES

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

AMY LEIGH OUELLETTE DPT (NPI 1053383430) is an individual pediatrics provider in Sherwood, Oregon, licensed in Oregon (5105) and active in the NPI registry since February 2006. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1053383430
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameAMY LEIGH OUELLETTECredential: DPT
Location Address21178 SW LADYFERN DRSherwood, OR 97140-8955
Mailing Address21178 Sw Ladyfern DrSherwood, OR 97140-8955 · (541) 399-6961 · Fax (503) 405-7448
Fax(503) 405-7448
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1053383430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in OR · 5105
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License 5105 (OR)
21178 SW LADYFERN DR, Sherwood, OR 97140

Other Names 1

Former Name (1)Amy Leigh Phelps Dpt

Other Identifiers 1

Medicaid005727OR

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

Amy Leigh Ouellette Dpt 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 ID7214107531
PECOS Enrollment IDI20110824000369

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Ouellette reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
700 N DEBORAH RD STE 100
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Advanced Orthopedic Physical Therapy PC
  • 4 clinicians in this Medicare group
Physical Medicine & Rehabilitation
118 N EVEREST ST
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 11 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.

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 Amy Ouellette's NPI number?

The NPI number for Amy Ouellette is 1053383430. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Amy Leigh Phelps Dpt.

Where is Amy Ouellette located?

Amy Ouellette practices at 21178 SW Ladyfern Dr, Sherwood, OR 97140. The listed phone number is (541) 399-6961.

What is Amy Ouellette's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Amy Ouellette enrolled in Medicare?

Yes. Amy Ouellette 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 organizations bill Medicare for Amy Ouellette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Ouellette reassigns Medicare benefits to 2 organizations: Advanced Orthopedic Physical Therapy, P.C. (Newberg, OR) and Chehalem Physical Therapy, Inc. (Newberg, OR). Each 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 Amy Ouellette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Ouellette accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amy Ouellette 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 Amy Ouellette was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.