Individual provider Active NPI

Sydney Renee Zamora, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1124882329
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64170 Issued in OR
Practice address
7204 SW Durham Road
Suite 100
Portland, OR 97224-7574
Phone
(503) 941-9869
Fax
(503) 352-5555
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 64170 OR Primary

Addresses

Primary practice location

7204 SW Durham Road
Suite 100
Portland, OR 97224-7574

Mailing address

7204 SW Durham Road
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327002991 OR Practitioner - Physical Therapist in Private Practice 3870930761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohsu Outpatient Clinical Services LLCGroup PAC ID 7315300571, 22 clinicians
Brain Rehab Network Oregon IncGroup PAC ID 8729400510, 11 clinicians

Practice addresses (Care Compare)

11200 SW Murray Scholls PL
Suite 100
Beaverton, OR 97007-9816
Phone (503) 494-3151

7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64170ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohsu Outpatient Clinical Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Ohsu Outpatient Clinical Services LLC CurrentSince Feb 1, 2026 Accepting new patients
Brain Rehab Network Oregon, Inc. Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients

Locations

11200 SW Murray Scholls Pl
Ste 100
Beaverton, OR 97007
Phone (503) 494-3151

7204 SW Durham Rd
Ste 100
Tigard, OR 97224
Phone (503) 941-9869

Organizations & group practices 3

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1124882329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 SW DURHAM ROAD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247574",
            "telephone_number": "503-941-9869",
            "fax_number": "503-352-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 SW DURHAM ROAD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247574",
            "telephone_number": "503-941-9869",
            "fax_number": "503-352-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "SYDNEY",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.