Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Farah Grace Custodio

Individual provider Physical Therapy Clinic/Center · NPI 1740924620

Farah Grace Custodio is registered under Physical Therapist in Private Practice in Forest Grove, Oregon. Qualified in 2005, 21 years ago. Practices with Custom Care Physical Therapy, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Licensed in
OR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone: (503) 357-1706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 64412 (OR)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 64412 (OR)

Record details

NPI number1740924620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2022
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Custom Care Physical Therapy, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 2,140 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Custom Care Physical Therapy, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Forest Grove