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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053383430, enumerated as an "individual" on February 01, 2006.

The provider is located at 21178 SW LADYFERN DR SHERWOOD, OR 97140 and the phone number is (541) 399-6961.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.