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

Tualatin Physical Therapy & Sports Rehab Inc

Organization Physical Therapist · NPI 1407037146

Tualatin Physical Therapy & Sports Rehab Inc is a Physical Therapist in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19767 SW 72nd Ave Ste 102
Tualatin, OR 97062-8354
Phone: (503) 885-2199
Fax: (503) 885-2129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0777 (OR)
Physical Therapist Taxonomy 225100000X · Licence 1583 (OR)
Physical Therapist Taxonomy 225100000X · Licence 1052 (OR)

Record details

NPI number1407037146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Casper — President · (503) 885-2199
NPI enumeratedNovember 23, 2007
Last updated in NPPESApril 8, 2011
Mailing address19767 Sw 72nd Ave, Suite 102, Tualatin, OR 97062-8354

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