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

NPI Status: Active since April 26, 2022

Contact Information

3838 PACIFIC AVE
FOREST GROVE, OR
ZIP 97116
Phone: (503) 357-1706

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  • Individual
  • Female
  • Years of Experience 21
  • Physical Therapist
  • Orthopedic
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About FARAH CUSTODIO

This page provides the complete NPI Profile along with additional information for Farah Custodio, a provider established in Forest Grove, Oregon with a medical specialization in Physical Therapist, focusing in orthopedic and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1740924620 assigned on April 2022. The practitioner's primary taxonomy code is 2251X0800X with license number 64412 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1740924620
Provider Name
FARAH GRACE CUSTODIO
Gender
Female
Entity Type
Individual
Location Address
3838 PACIFIC AVE FOREST GROVE, OR 97116
Location Phone
(503) 357-1706
Mailing Address
1000 NW 123RD AVE APT 1 PORTLAND, OR 97229
Mailing Phone
(503) 804-1072
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
04-26-2022
Last Update Date
10-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
64412
License State
OR
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

64412 (OR)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Individual Connect - EPO
  • Silver 6500 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Farah Custodio is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 9133507759

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220609001155

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Re-evaluation for physical therapy, typically 20 minutes

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.

This service was performed 17 times for 11 patients

Therapy procedure using functional activities

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.

This service was performed 506 times for 34 patients

Therapy procedure using manual technique, each 15 minutes

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.

This service was performed 111 times for 27 patients

Reviews for FARAH GRACE CUSTODIO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740924620, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 8 + 2 + 8 + 6 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1740924620.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Family Medicine
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physician Assistant (Medical)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physician Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Clinic/Center (Primary Care)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Emergency Medicine (Emergency Medical Services)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapy Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physician Assistant (Medical)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Massage Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Nurse Practitioner (Primary Care)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Clinic/Center (Physical Therapy)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapist
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapy Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapy Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Clinic/Center (Primary Care)
3838 PACIFIC AVE
FOREST GROVE, OR 97116
Physical Therapy Assistant
3838 PACIFIC AVE
FOREST GROVE, OR 97116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740924620, enumerated as an "individual" on April 26, 2022.

The provider is located at 3838 PACIFIC AVE FOREST GROVE, OR 97116 and the phone number is (503) 357-1706.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.