Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ly Tieu-Pyka, PT

Individual provider Physical Therapist · NPI 1043400179

Ly Tieu-Pyka, PT is a Physical Therapist in Private Practice in Tualatin, Oregon. Qualified in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

19185 SW 90th Ave
Tualatin, OR 97062-7558
Phone: (503) 885-5360
Fax: (503) 885-7362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00010548 (WA)

Record details

NPI number1043400179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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