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Sportscare Physical Therapy @ Cornell, LLC

Durable Medical Equipment & Medical Supplies in Gresham, OR · enumerated 2024 · authorized official Penny Tacker, Regulatory Specialist.

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

National Provider Identifier

1609635507

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Registry record

Entity type Organization (Type 2)
Legal business name Sportscare Physical Therapy @ Cornell, LLC
Practice address 24076 Se Stark St Ste 210, Gresham, OR, 97030
Phone (503) 491-1666
Enumeration date Mar 14, 2024
Last updated in NPPES Mar 14, 2024

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Penny Tacker
Title Regulatory Specialist
Phone (713) 297-7052

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

Who is the authorized official for Sportscare Physical Therapy @ Cornell, LLC?
NPPES lists Penny Tacker (Regulatory Specialist) as the authorized official for this organization.
What is the NPI number for Sportscare Physical Therapy @ Cornell, LLC?
The NPI for Sportscare Physical Therapy @ Cornell, LLC is 1609635507, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-14.