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

Angelo Joseph Bologna, PT

Individual provider Physical Therapist · NPI 1558843870

Angelo Joseph Bologna, PT is a Physical Therapist in Gresham, Oregon. Licensed in Oregon and Tennessee. Registered with an NPI since 2018.

Licensed in
OR, TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

282 NE 223rd Ave
Gresham, OR 97030-8555
Phone: (503) 912-1192
Fax: (503) 912-1275
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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 63365 (OR)
Physical Therapist Taxonomy 225100000X · Licence 11781 (TN)

Record details

NPI number1558843870
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESAugust 8, 2019

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