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

Rehab Specialists Outpatient LLC

Organization Physical Therapist · NPI 1952075962

Rehab Specialists Outpatient LLC is a Physical Therapist in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
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

1300 NE 16th Ave
Portland, OR 97232-1467
Phone: (503) 288-6671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 — (971) 206-5200

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1952075962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Fogg — Owner · (971) 206-5200
Other names Agestrong Holladay Park Plaza
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address4560 Se International Way Ste 100, Milwaukie, OR 97222-4628

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