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

Village Physical Therapy, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1639638489

Village Physical Therapy, LLC is a Physical Medicine & Rehabilitation Physician in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
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

8430 SW 22nd Ave
Portland, OR 97219-2856
Phone: (503) 389-5754
Fax: (503) 966-1459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1639638489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tam Cotton — Office Administrator · (503) 389-5754
NPI enumeratedMarch 19, 2019
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address3521 Sw Comus St, Portland, OR 97219-7561

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