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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

111TH SQUARE FITNESS AND THERAPY, LLC

Active Organization

111TH SQUARE FITNESS AND THERAPY, LLC is a Physical Therapy Assistant organization located in PORTLAND, Oregon. NPI 1750521985 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORTLAND, OR

Registration Details

NPI Number
1750521985
Provider Type
Organization
NPI Issued
Feb 27, 2009 (17.271263296406 yrs)
Last Updated
Feb 27, 2009
Licenses
15397 (OR)
1333261 (OR)
0355 (OR)

Practice Information

Address
11126 NE HALSEY ST
PORTLAND, OR, 972202021
Browse OR providers · Browse ZIP 97220
Phone
5032565200
Fax
5032537958
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Athletic Trainer
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.