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

Broadway Physical Therapy & Sports Rehab LLC

Organization Specialist · NPI 1326185950

Broadway Physical Therapy & Sports Rehab LLC is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3016 NE Broadway St
Portland, OR 97232-1811
Phone: (503) 287-6636
Fax: (503) 287-4044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2270 (OR)

Record details

NPI number1326185950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Grover — Owner · (503) 287-6636
NPI enumeratedJanuary 31, 2007
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address3016 Ne Broadway St, Portland, OR 97232-1811

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