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

Andrew Grant Robertson

Individual provider Physical Therapist · NPI 1710496344

Andrew Grant Robertson is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Kjb Consulting Corporation, an 18-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
9
Licensed in
IL, OR
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

3934 NE Martin Luther King Blvd Ste 203
Portland, OR 97212
Phone: (503) 223-1856
Fax: (503) 223-1765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5112 Museum Dr, Oak Lawn, IL 60453-7005 — (708) 952-8220
  • 5112 Museum Dr, Oak Lawn, IL 60453-7005 — (708) 952-8220

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.02337 (IL)
Physical Therapist Taxonomy 225100000X · Licence 65668 (OR)
Physical Therapist Taxonomy 225100000X · Licence 070023337 (IL)

Record details

NPI number1710496344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2017
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kjb Consulting Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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