Individual provider Active NPI

Amanda Rose Stock

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1063277572
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64186 Issued in OR
Practice address
936 SE Oak St
Hillsboro, OR 97123-4214
Phone
(971) 259-6916
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64186 OR Primary

Addresses

Primary practice location

936 SE Oak St
Hillsboro, OR 97123-4214

Mailing address

936 SE Oak St
Hillsboro, OR 97123-4214
Phone (971) 259-6916

Other practice location 1

2800 SW Hocken Ave
Beaverton, OR 97005-2443
Phone (503) 770-4628

Other names 1

  • Amanda Pardue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322003823 OR Practitioner - Physical Therapist in Private Practice 6204273485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Sports Medicine and Rehabilitation PCGroup PAC ID 4385617489, 8 clinicians

Practice addresses (Care Compare)

936 SE Oak St
Hillsboro, OR 97123-4214
Phone (971) 837-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64186ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 Accepting new patients

Locations

2800 SW Hocken Ave
Beaverton, OR 97005
Phone (503) 500-5961

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

936 SE Oak St
Hillsboro, OR 97123
Phone (503) 352-0690

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1063277572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234214",
            "telephone_number": "971-259-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234214",
            "telephone_number": "971-259-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 SW Hocken Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970052443",
            "country_code": "US",
            "telephone_number": "503-770-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PARDUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.