Individual provider Active NPI

Darren Nigo, ATC

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1194276022
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62629 Issued in OR
Practice address
17865 SW Maiden CT
Beaverton, OR 97007-6490
Phone
(971) 645-1300
NPI assigned
Oct 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000022059 OR
Physical Therapist 225100000X 62629 OR Primary

Addresses

Primary practice location

17865 SW Maiden CT
Beaverton, OR 97007-6490

Mailing address

17865 SW Maiden CT
Beaverton, OR 97007-6490
Phone (971) 645-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220003373 OR Practitioner - Physical Therapist in Private Practice 3870838766 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Surgical Specialists PCGroup PAC ID 4183527153, 118 clinicians

Practice addresses (Care Compare)

4811 Meadows Rd
Suite 101
Lake Oswego, OR 97035-2542
Phone (503) 635-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000022059ORMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Northwest Surgical Specialists PC CurrentSince Apr 28, 2025 Accepting new patients
Northwest Surgical Specialists, P.C. CurrentSince Apr 28, 2025 Accepting new patients
Integrated Joint Specialists LLC Physical Therapist CurrentSince Jun 17, 2021 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Oct 8, 2018 Accepting new patients
J and D Physical Therapy Services Physical Therapist Past Accepting new patients
Integrated Joint Specialists LLC Past Accepting new patients

Locations

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

4811 Meadows Rd
Ste 101
Lake Oswego, OR 97035
Phone (503) 635-2323

1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

10250 SW Greenburg Rd
Ste 115
Tigard, OR 97223
Phone (503) 719-6783

200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145

Organizations & group practices 7

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1194276022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17865 SW MAIDEN CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076490",
            "telephone_number": "971-645-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17865 SW MAIDEN CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076490",
            "telephone_number": "971-645-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGO",
        "first_name": "DARREN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "2000022059",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.