FARAH GRACE CUSTODIO NPI 1740924620

NPI Information

  • NPI: 1740924620
  • Provider Name: FARAH GRACE CUSTODIO
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 3838 PACIFIC AVE
    FOREST GROVE, OR
    ZIP 97116
  • Phone: (503) 357-1706

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NPI Details

Farah Grace Custodio is an orthopedic physical therapist in Forest Grove, OR with 21 years of experience. 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. Farah Grace Custodio NPI is 1740924620. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3838 PACIFIC AVE
FOREST GROVE, OR
ZIP 97116-224
Phone: (503) 357-1706

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using functional activities (HCPCS:97530)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Re-evaluation for physical therapy, typically 20 minutes (HCPCS:97164)

The enumeration date for this NPI number is 4/26/2022 and was last updated on 10/22/2024.

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
1261QP2000XClinic/CenterPhysical Therapy64412OREGONNo
22251X0800XPhysical TherapistOrthopedic64412OREGONYes

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: 11/21/2025

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