Individual provider Active NPI

Stewart Wilent, DPT, PT

  • Physical Therapist
  • Sandy, OR
National Provider Identifier
1508661018
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65601 Issued in OR
Practice address
16621 Champion Way Ste 100
Sandy, OR 97055-7258
Phone
(503) 668-5321
Fax
(503) 668-9742
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 65601 OR Primary

Addresses

Primary practice location

16621 Champion Way Ste 100
Sandy, OR 97055-7258

Mailing address

10121 SE Sunnyside Rd Ste 208
Clackamas, OR 97015-5750
Phone (503) 668-5321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225001661 OR Practitioner - Physical Therapist in Private Practice 5597285254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16621 Champion Way
Suite 100
Sandy, OR 97055-7258
Phone (503) 668-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy @ Cornell, LLC CurrentSince Feb 18, 2025 Accepting new patients
Sportscare Physical Therapy @ Cornell, LLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

16100 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (971) 245-6663

10121 SE Sunnyside Rd
Ste 208
Clackamas, OR 97015
Phone (503) 427-2956

3871 Fairview Industrial Dr SE
Ste 120
Salem, OR 97302
Phone (503) 990-6393

16621 Champion Way
Ste 100
Sandy, OR 97055
Phone (503) 668-5321

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1508661018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 208",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155750",
            "telephone_number": "503-668-5321",
            "fax_number": "503-668-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16621 CHAMPION WAY STE 100",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557258",
            "telephone_number": "503-668-5321",
            "fax_number": "503-668-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENT",
        "first_name": "STEWART",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.