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FARAH GRACE CUSTODIO
NPI 1740924620
Physical Therapist - Orthopedic in Forest Grove, OR

Active since April 26, 2022Accepts Medicare Assignment
3838 PACIFIC AVE, FOREST GROVE, OR 97116(503) 357-1706 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Farah Grace Custodio NPPES

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

FARAH GRACE CUSTODIO (NPI 1740924620) is an individual orthopedic provider in Forest Grove, Oregon, licensed in Oregon (64412) and active in the NPI registry since April 2022. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1740924620
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameFARAH GRACE CUSTODIO
Location Address3838 PACIFIC AVEForest Grove, OR 97116-2224
Mailing Address1000 Nw 123rd Ave Apt 1Portland, OR 97229-5673 · (503) 804-1072
Phone(503) 357-1706
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 26, 2022
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1740924620 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 · 64412
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 ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 64412 (OR)
3838 PACIFIC AVE, Forest Grove, OR 97116
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Farah Grace Custodio 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 ID9133507759
PECOS Enrollment IDI20220609001155

Medicare Billing Reassignments

2

Medicare enrollment records show Farah Custodio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Custom Care Physical Therapy, LLC.
Same address
Physical Therapy
3838 PACIFIC AVE
Forest Grove, OR 97116
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1508005026 (503) 357-1706
Therapeutic Associates Inc
0.5 mi
Physical Therapist
3305 19TH AVE
Forest Grove, OR 97116
  • Reassigned Medicare billing, Oregon enrollment
  • 312 clinicians in this Medicare group
NPI 1477539765 (503) 357-9810

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,738 services62 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
211 services33 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
68 services27 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
60 services24 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
17 services17 patients

Other Providers at the Same Location NPPES 17

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

DR. STEPHEN PATRICK MOON M.D.
Emergency Medicine (Emergency Medical Services)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 992-0288
SEAN L STEWARD, MD, PC
Clinic/Center (Primary Care)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 992-0288
ANDREW J JASZEWSKI PA-C
Physician Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (999) 999-9999
CUSTOM CARE PHYSICAL THERAPY, LLC.
Clinic/Center (Physical Therapy)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 357-1706
JACLYN SORBETS
Massage Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 357-1706
KERRY JONES ASHBY PA
Physician Assistant (Medical)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 992-0288
DR. TESSA OUCHIDA DPT
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 953-3245
GABRIEL JOSEPH CAMILLI
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Washington County (503) 357-1706

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 Farah Custodio's NPI number?

The NPI number for Farah Custodio is 1740924620. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Farah Custodio located?

Farah Custodio practices at 3838 Pacific Ave, Forest Grove, OR 97116. The listed phone number is (503) 357-1706.

What is Farah Custodio's specialty?

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

Is Farah Custodio enrolled in Medicare?

Yes. Farah Custodio 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.

Which organizations bill Medicare for Farah Custodio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farah Custodio reassigns Medicare benefits to 2 organizations: Custom Care Physical Therapy, LLC. (Forest Grove, OR) and Therapeutic Associates Inc (Forest Grove, OR). 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 Farah Custodio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Farah Custodio accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Farah Custodio 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 Farah Custodio was last updated on October 22, 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.