MICHELE SHIVACK PTATC NPI 1184962128

NPI Information

  • NPI: 1184962128
  • Provider Name: MICHELE SHIVACK, PT,ATC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 11782 SW BARNES RD
    SUITE 300
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 906-4323

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NPI Details

Michele Shivack, PT,ATC is an orthopedic physical therapist in Portland, OR. The provider is 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. Michele Shivack, PT,ATC NPI is 1184962128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11782 SW BARNES RD
SUITE 300
PORTLAND, OR
ZIP 97225-914
Phone: (503) 906-4323
Fax: (503) 906-4333

The enumeration date for this NPI number is 1/25/2013 and was last updated on 9/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSports4108OREGONNo
22251X0800XPhysical TherapistOrthopedic04108OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104108OTHEROREGONLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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