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

Longevity Physical Therapy

Organization Physical Therapist · NPI 1912688748

Longevity Physical Therapy is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1655 SE Umatilla St
Portland, OR 97202-7212
Phone: (636) 288-0641
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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 number1912688748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Sellers — Managing Member/Owner · (636) 288-0641
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address1655 Se Umatilla St, Portland, OR 97202-7212

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