Taylor Hefty, DPT in Tualatin, OR - Medicare Physical Therapist Provider

Taylor Hefty, DPT is a medicare enrolled "Physical Therapist" provider in Tualatin, Oregon. His current practice location is 19767 Sw 72nd Ave Ste 105, Tualatin, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 454-0526.

Taylor Hefty is licensed to practice in Oregon (license number 65020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750154555.

Contact Information

	Taylor Hefty, DPT
	19767 Sw 72nd Ave Ste 105, Tualatin, OR 97062-8354
	(503) 454-0526
	(503) 855-4568

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Hefty
Gender	Male
Speciality	Physical Therapist
Location	19767 Sw 72nd Ave Ste 105, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750154555
Provider Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7719335058
Enrollment ID: I20231128001964

Medical Identifiers

Medical identifiers for Taylor Hefty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750154555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	65020 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taylor Hefty allows following entities to bill medicare on his behalf.

Provider Name	New Proactive Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Hefty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Taylor Hefty, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (334) 231-5364	Taylor Hefty, DPT 19767 Sw 72nd Ave Ste 105, Tualatin, OR 97062-8354 Ph: (503) 454-0526

Reviews and Comments

Physical Therapist in Tualatin, OR

Proactive Physical Therapy Tualatin Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062 Phone: 503-545-0526 Fax: 503-855-4568
Danielle Benjamin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19500 Sw 90th Ct, Tualatin, OR 97062 Phone: 503-614-1790
Ly Tieu, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-885-5360 Fax: 503-885-7362
In Touch Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 8100 Sw Nyberg St, Suite 130, Tualatin, OR 97062 Phone: 503-885-8677 Fax: 503-885-0676
Jessica Hund, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20203 Sw 95th Ave, Tualatin, OR 97062 Phone: 971-217-6144
Angela Bowlby, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5916 Sw Nyberg Ln, Tualatin, OR 97062 Phone: 503-692-4934
Natalie Athena Teegarden, Physical Therapist Medicare: Medicare Enrolled Practice Location: 19250 Sw 65th Ave Ste 125, Tualatin, OR 97062 Phone: 503-692-1670

Taylor Hefty, DPT - Medicare Physical Therapist in Tualatin, OR