Amy Leigh Ouellette, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5105 Issued in OR

Practice address

21178 SW Ladyfern Dr
Sherwood, OR 97140-8955

Phone

(541) 399-6961

Fax

(503) 405-7448

NPI assigned

Feb 1, 2006

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amy Leigh Phelps Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chehalem Physical Therapy IncGroup PAC ID 2769455344, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chehalem Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newberg, OR
  • NPI 1164497111
  Medicare reassignment Care Compare group NPD
• Advanced Orthopedic Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Newberg, OR
  • NPI 1861737769
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1053383430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21178 SW LADYFERN DR",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408955",
            "telephone_number": "541-399-6961",
            "fax_number": "503-405-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21178 SW LADYFERN DR",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408955",
            "telephone_number": "541-399-6961",
            "fax_number": "503-405-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5105",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005727",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PHELPS",
            "middle_name": "LEIGH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oregon Care Link Dba Nurse Next Door Portland West
• Oregon CVS Pharmacy LLC (CVS Pharmacy #16988)
• Oregon Hearing Solutions LLC
• Oregon Onsite Drug Testing LLC (Butterfield Onsite Drug Testing)
• Oregon Pediatrics-Beaverton, LLC (Oregon Pediatrics-Sherwood)
• Nicole Owen, LMT
• Pacific Family Dental LLC
• Chung-Jae Park, DDS
• Bronwyn M Parkin, PHARM.D.
• Osa Briana Peck, RN, CDCES

• Pediatric Physical Therapist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Pediatric Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.