Farah Grace Custodio
NPI 1740924620ActiveIndividual· Physical Therapist, Orthopedic· Forest Grove, OR
Physical Therapist, Orthopedic with Therapeutic Associates Inc and 1 other group, practicing in Forest Grove, Oregon. Medicare paid $47,322 for services to 62 patients in 2024.
Overview
| NPI | 1740924620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 26, 2022 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 64412 | OR |
| Clinic/Center, Physical Therapy | 261QP2000X | 64412 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 2,140 across 10 procedure codes |
| Paid by Medicare | $47,322 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Therapeutic Associates IncSisters, OR · 317 clinicians
- Custom Care Physical Therapy, LLCForest Grove, OR · 6 clinicians
Other orthopedic physical therapists in Forest Grove
- 1124128764
- 1992466817