Organization
AS YOU AGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PIDKOWICZ OT (OWNER)
(661) 714-4178
Entity
Organization
Contact information
Practice address
17371 SW GALEWOOD DR, SHERWOOD, OR 97140-7912
(503) 482-8502
Mailing address
6107 SW MURRAY BLVD # 479, BEAVERTON, OR 97008-4421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up