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MICHELE SHIVACK PT,ATC
NPI 1184962128
Physical Therapist - Orthopedic in Portland, OR

Active since January 25, 2013
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225(503) 906-4323(503) 906-4333 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele Shivack Pt,atc NPPES

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

MICHELE SHIVACK PT,ATC (NPI 1184962128) is an individual orthopedic provider in Portland, Oregon, licensed in Oregon (04108) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1184962128
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMICHELE SHIVACKCredential: PT,ATC
Location Address11782 SW BARNES RD, SUITE 300Portland, OR 97225-5914
Mailing Address11782 Sw Barnes Rd, Suite 300Portland, OR 97225-5914 · (503) 906-4323 · Fax (503) 906-4333
Phone(503) 906-4323
Fax(503) 906-4333
Sole ProprietorNo
Enumeration DateJanuary 25, 2013
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1184962128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OR · 04108
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 4108 (OR)
11782 SW BARNES RD, Portland, OR 97225
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Other Identifiers 1

Other04108OR · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

LANE WILLIAMS
Physical Therapist
11782 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 906-4323
MS. SANDI JO MCRAE OT
Occupational Therapist
11782 SW BARNES RD, STE 300
PORTLAND, OR 97225
Washington County (503) 214-5200
DANIEL LEWIS FISHER CST
Specialist/Technologist, Other (Surgical Technologist)
11782 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 214-5200
DR. ILMAR SOOT M.D.
Specialist
11782 SW BARNES RD, STE 300
PORTLAND, OR 97225
Washington County (503) 214-5200
DR. ALEXANDER MATTHEW DEHAAN M.D.
Orthopaedic Surgery
11782 SW BARNES RD, SUITE 300
PORTLAND, OR 97225
Washington County (503) 214-5200
THELMA JEAN MAYS MD PC
Anesthesiology
11782 SW BARNES RD, BLDG C 200
PORTLAND, OR 97225
Washington County (503) 906-4300
MR. MICHAEL D MONETA MD
Anesthesiology
11782 SW BARNES RD, BLDG C #200
PORTLAND, OR 97225
Washington County (503) 906-4300
JAMES S DAVITT MD
Orthopaedic Surgery (Foot and Ankle Surgery)
11782 SW BARNES RD, 300
PORTLAND, OR 97225
Washington County (503) 214-5200

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 Michele Shivack's NPI number?

The NPI number for Michele Shivack is 1184962128. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Where is Michele Shivack located?

Michele Shivack practices at 11782 SW Barnes Rd Suite 300, Portland, OR 97225. The listed phone number is (503) 906-4323.

What is Michele Shivack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

What insurance does Michele Shivack accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Michele Shivack 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 Michele Shivack was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.