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NPI · 1104887587 · NPPES-sourced

Andrew Lisitsky

ActivePhysical Therapist
NPI Number
1104887587
Type 1 · Individual
Taxonomy Code
225100000X
Contact
(503) 571-3366
License OR · 65461
Last Updated
Enumerated
Primary practice addressOR · 97006
17885 Ne Evergreen Parkway, Ste 220Beaverton, OR 97006
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About this NPIWhat this record shows.

NPI 1104887587 is registered to Andrew Lisitsky, a Physical Therapist practising at 17885 Ne Evergreen Parkway, Ste 220 in Beaverton, Oregon. Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Andrew Lisitsky has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 7587LIWA· Issued by REGENCE
  • 5479LIWA· Issued by REGENCE
  • 7588LIWA· Issued by REGENCE
  • 0219769WA· Issued by L&I

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Andrew Lisitsky accepts. To confirm in-network status with your specific health plan, contact Andrew Lisitsky directly at (503) 571-3366.

Frequently asked

Yes. NPI 1104887587 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 571-3366.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Andrew Lisitsky is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225100000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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