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SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC
NPI 1609635507
Durable Medical Equipment & Medical Supplies in Gresham, OR

Active since March 14, 2024
24076 SE STARK ST STE 210, GRESHAM, OR 97030(503) 491-1666 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sportscare Physical Therapy @ Cornell, Llc NPPES

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

SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC (NPI 1609635507) is a healthcare organization registered as a durable medical equipment & medical supplies in Gresham, Oregon and active in the NPI registry since March 2024. The organization lists Penny Tacker, Regulatory Specialist, as its authorized official.

NPPES Registry Identity

NPI1609635507
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC
Location Address24076 SE STARK ST STE 210Gresham, OR 97030-3376
Mailing Address24076 Se Stark St Ste 210Gresham, OR 97030-3376 · (503) 491-1666
Phone(503) 491-1666
Organization SubpartNo
Authorized OfficialPenny TackerRegulatory Specialist · (713) 297-7052
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1609635507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
24076 SE STARK ST STE 210, Gresham, OR 97030
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Other Providers at the Same Location NPPES 4

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

ELIZABETH BIESEMEYER DPT, PT
Physical Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 491-1666
DR. RONALD TAYLOR OTD, OTR/L
Occupational Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 419-1666
TYLER ICHIKI OTR/L
Occupational Therapist (Hand)
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 491-1666
MADISON CONSTANCE FIEF OTR/L
Occupational Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Multnomah County (503) 491-1666

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 Sportscare Physical Therapy @ Cornell, LLC's NPI number?

The NPI number for Sportscare Physical Therapy @ Cornell, LLC is 1609635507. It was assigned to this organization in the NPPES registry on March 14, 2024.

Where is Sportscare Physical Therapy @ Cornell, LLC located?

Sportscare Physical Therapy @ Cornell, LLC is located at 24076 SE Stark St Ste 210, Gresham, OR 97030. The listed phone number is (503) 491-1666.

What is Sportscare Physical Therapy @ Cornell, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Sportscare Physical Therapy @ Cornell, LLC was last updated on March 14, 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.