Diane O. Shiffer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1330 Issued in OR

Practice address

12540 SW 68TH Ave
Tigard, OR 97223-8597

Phone

(503) 974-9078

Fax

(503) 974-9083

NPI assigned

Jun 14, 2006

Last updated

May 30, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Group practices

Connect Physical Therapy, LLCGroup PAC ID 9537302245, 8 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.

• Connect Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Tigard, OR
  • NPI 1023386257

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1598708919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 SW 68TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238597",
            "telephone_number": "503-974-9078",
            "fax_number": "503-974-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 SW 68TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238597",
            "telephone_number": "503-974-9078",
            "fax_number": "503-974-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFER",
        "first_name": "DIANE",
        "middle_name": "O.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Cash Sheppard, FNP
• Lori Jean Sherlock, BA, MA, CDAC3, ICDAC
• Aaron Isaac Sherr
• Elizabeth Anne Shields, M. ED
• Ryan Bradley Shields, PSS
• Matthew Lee Shih, DDS
• Jinu Shin, UATECH
• Gerald Harvey Shipp, MA, LMFT
• Quincy Shorthill, P.T.
• Karissa Shropshire

• Physical Therapist in Tigard, OR
• Providers in Tigard, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.