MRS. LAURA LYNN WALICZEK DPT
NPI 1750459673
Physical Therapist in Tigard, OR
About Mrs. Laura Lynn Waliczek Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LAURA LYNN WALICZEK DPT (NPI 1750459673) is an individual physical therapist in Tigard, Oregon, licensed in Oregon (4954) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Laura Lynn Waliczek Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Laura Waliczek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beaverton, OR 97005
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIGARD, OR 97223
TIGARD, OR 97223
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 Laura Waliczek's NPI number?
The NPI number for Laura Waliczek is 1750459673. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Laura Lynn Fesnak Dpt.
Where is Laura Waliczek located?
Laura Waliczek practices at 9860 SW Hall Blvd #a3, Tigard, OR 97223. The listed phone number is (503) 902-2123.
What is Laura Waliczek's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Laura Waliczek enrolled in Medicare?
Yes. Laura Waliczek is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Laura Waliczek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Waliczek reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, OR). The 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 Laura Waliczek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laura Waliczek was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.