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Custom Care Physical Therapy, LLC.

Physical Therapy Clinic/Center in Forest Grove, OR · enumerated 2009 · authorized official Lauren Mason, General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508005026

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Care Physical Therapy, LLC.
Practice address 3838 Pacific Ave, Forest Grove, OR, 97116
Fax (503) 270-5023
Enumeration date Feb 5, 2009
Last updated in NPPES May 24, 2022

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 3440 (OR) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Lauren Mason
Title General Manager

Other identifiers

Identifier Type State Issuer
136956 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Custom Care Physical Therapy, LLC. located?
The practice location on file with NPPES is in Forest Grove, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-24. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-24.