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

Individual provider Sports Physical Therapist · NPI 1184962128

Michele Shivack, PT, ATC is a Sports Physical Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5914
Phone: (503) 906-4323
Fax: (503) 906-4333
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Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 04108 (OR)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 4108 (OR)

Record details

NPI number1184962128
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedJanuary 25, 2013
Last updated in NPPESSeptember 13, 2013

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