Sportscare Physical Therapy @ Cornell, LLC
NPI 1417716317 · Durable Medical Equipment & Medical Supplies · Portland, OR
Enrolled with Medicare as Dme Supplier - Independently-Practicing Occupational Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sportscare Physical Therapy @ Cornell, LLC is a Durable Medical Equipment & Medical Supplies organization in Portland, OR (NPI 1417716317).
Provider details
- NPI number
- 1417716317
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Penny Tacker, Regulatory Specialist(713) 297-7052
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Sportscare Physical Therapy @ Cornell, LLC's NPI number?
- Sportscare Physical Therapy @ Cornell, LLC's National Provider Identifier (NPI) is 1417716317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sportscare Physical Therapy @ Cornell, LLC?
- Sportscare Physical Therapy @ Cornell, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Sportscare Physical Therapy @ Cornell, LLC located?
- Sportscare Physical Therapy @ Cornell, LLC's practice location on file with NPPES is 10748 Ne Halsey St, Portland, OR 97220-3961.
- What is Sportscare Physical Therapy @ Cornell, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sportscare Physical Therapy @ Cornell, LLC is (503) 257-9881.
- Does Sportscare Physical Therapy @ Cornell, LLC accept Medicare?
- Sportscare Physical Therapy @ Cornell, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sportscare Physical Therapy @ Cornell, LLC?
- The authorized official listed on Sportscare Physical Therapy @ Cornell, LLC's NPPES record is Penny Tacker, Regulatory Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sportscare Physical Therapy @ Cornell, LLC's NPI active?
- Yes — Sportscare Physical Therapy @ Cornell, LLC's NPI (1417716317) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.