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

Q: 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.

Q: What is Farah Custodio's specialty?

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

Q: 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 21 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.

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: August 09, 2026.

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

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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., Regence BlueCross BlueShield of Oregon.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

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

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 18

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)