Sportscare Physical Therapy @ Cornell, Llc
Durable Medical Equipment & Medical Supplies
10748 Ne Halsey St, Portland
Oregon, 97220-3961
503-257-9881 Sportscare Physical Therapy @ Cornell, Llc is a Durable Medical Equipment & Medical Supplies in Portland, Oregon. It is located at 10748 Ne Halsey St, Portland and it's customer support contact number is 503-257-9881. The authorized person of Sportscare Physical Therapy @ Cornell, Llc is Penny Tacker who is Regulatory Specialist of this DME and his contact number is 713-297-7052. Sportscare Physical Therapy @ Cornell, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sportscare Physical Therapy @ Cornell, Llc is 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.
DME Supplier Details:
Sportscare Physical Therapy @ Cornell, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Sportscare Physical Therapy @ Cornell, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 10748 Ne Halsey St, Portland,
Oregon, 97220-3961 |
| Phone: | 503-257-9881 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Penny Tacker |
| Position: | Regulatory Specialist |
| Contact Number: | 713-297-7052 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1417716317 |
| NPI Enumeration Date: | 14 Mar, 2024 |
| NPI Last Update On: | 14 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sportscare Physical Therapy @ Cornell, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Sportscare Physical Therapy @ Cornell, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517115579 | O20240605003495 | Sportscare Physical Therapy @ Cornell, Llc | DME SUPPLIER - INDEPENDENTLY-PRACTICING OCCUPATIONAL THERAPIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10748 Ne Halsey St,
Portland, Oregon |
| Zip: | 97220-3961 |
| Phone Number: | 503-257-9881 |
Patients can reach Sportscare Physical Therapy @ Cornell, Llc at
10748 Ne Halsey St, Portland, Oregon or can
call on customer care at 503-257-9881.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.