STACEY LEANN ABOSAMRA PT, DPT
NPI 1063256071
Physical Therapist in Portland, OR

Active since June 24, 2024Accepts Medicare Assignment
2330 NW FLANDERS ST STE G1, PORTLAND, OR 97210(503) 223-1856 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Leann Abosamra Pt, Dpt NPPES

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

STACEY LEANN ABOSAMRA PT, DPT (NPI 1063256071) is an individual physical therapist in Portland, Oregon, licensed in Oregon (65347) and active in the NPI registry since June 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1063256071
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSTACEY LEANN ABOSAMRACredential: PT, DPT
Location Address2330 NW FLANDERS ST STE G1Portland, OR 97210-3441
Mailing Address2330 Nw Flanders St Ste G1Portland, OR 97210-3441 · (503) 223-1856
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1063256071 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 · 65347
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.
2330 NW FLANDERS ST STE G1, Portland, OR 97210

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

Stacey Leann Abosamra Pt, 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 ID3577008762
PECOS Enrollment IDI20240711003526

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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 3

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

Physical Therapist (Orthopedic)
2330 NW FLANDERS ST STE G1
PORTLAND, OR 97210
Physical Therapist
2330 NW FLANDERS ST STE G1
PORTLAND, OR 97210
Occupational Therapist (Physical Rehabilitation)
2330 NW FLANDERS ST STE G1
PORTLAND, OR 97210

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 Stacey Abosamra's NPI number?

The NPI number for Stacey Abosamra is 1063256071. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Stacey Abosamra located?

Stacey Abosamra practices at 2330 NW Flanders St Ste G1, Portland, OR 97210. The listed phone number is (503) 223-1856.

What is Stacey Abosamra's specialty?

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

Is Stacey Abosamra enrolled in Medicare?

Yes. Stacey Abosamra 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.

What insurance does Stacey Abosamra accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stacey Abosamra 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 Stacey Abosamra was last updated on June 24, 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.