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

Fairway Physical Therapy, LLC

Organization Physical Therapist · NPI 1669924007

Fairway Physical Therapy, LLC is a Physical Therapist in Sutherlin, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
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

211 Dakota St
Sutherlin, OR 97479-9908
Phone: (541) 315-2851
Fax: (541) 315-2853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02521 (OR)

Record details

NPI number1669924007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Hirtle — Owner/ Director · (541) 580-8106
NPI enumeratedNovember 2, 2016
Last updated in NPPESNovember 2, 2016
Mailing address211 Dakota St, Sutherlin, OR 97479-9908

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