ANDREW LISITSKY
NPI 1104887587
Physical Therapist in Beaverton, OR
About Andrew Lisitsky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW LISITSKY (NPI 1104887587) is an individual physical therapist in Beaverton, Oregon, licensed in Oregon (65461) and active in the NPI registry since March 2006. He maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Locations 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Lisitsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Lisitsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beaverton, OR 97005
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 clinicians in this Medicare group
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- 13 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Andrew Lisitsky's NPI number?
The NPI number for Andrew Lisitsky is 1104887587. It was assigned to this individual provider in the NPPES registry on March 28, 2006.
Where is Andrew Lisitsky located?
Andrew Lisitsky practices at 17885 NE Evergreen Parkway Ste 220, Beaverton, OR 97006. The listed phone number is (503) 571-3366.
What is Andrew Lisitsky's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Andrew Lisitsky enrolled in Medicare?
Yes. Andrew Lisitsky is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Lisitsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Lisitsky reassigns Medicare benefits to 2 organizations: Beaverton Rehab & Specialty Care, LLC (Beaverton, OR) and Stride Physio PLLC (Seattle, WA). 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 Andrew Lisitsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Lisitsky was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.