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

Taylor Hefty, DPT

Individual provider Physical Therapist · NPI 1750154555

Taylor Hefty, DPT is a Physical Therapist in Private Practice in Tualatin, Oregon. Qualified in 2023, 3 years ago. Practices with New Proactive LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

19767 SW 72nd Ave Ste 105
Tualatin, OR 97062-8354
Phone: (503) 454-0526
Fax: (503) 855-4568
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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 65020 (OR)

Record details

NPI number1750154555
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 2, 2023
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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