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

Active Edge Physical Therapy & Sports Medicine PC

Organization Physical Therapist · NPI 1912574906

Active Edge Physical Therapy & Sports Medicine PC is a Physical Therapist in Beaverton, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11000 SW 11th St Ste 440B
Beaverton, OR 97005-4107
Phone: (503) 387-5449
Fax: (503) 342-6846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1912574906
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationActive Edge Physical Therapy & Sports Medicine PC
Authorized official Daniel Morlan — President · (503) 387-5449
Other names Active Edge Physical Therapy
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021
Mailing address2020 8th Ave Ste D, West Linn, OR 97068-4657

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