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

Dr. Andrew Polenske, PT, DPT, ATC

Individual provider Athletic Trainer · NPI 1497266993

Dr. Andrew Polenske, PT, DPT, ATC is a Physical Therapist in Private Practice in West Linn, Oregon. Qualified in 2020, 6 years ago. Practices with Active Edge Physical Therapy and Sports Medicine PC, a 10-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2020 8th Ave Ste D
West Linn, OR 97068-4657
Phone: (503) 387-5449
Fax: (503) 342-6846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63710 (OR)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000038059 (OR)

Record details

NPI number1497266993
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedOctober 24, 2017
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Active Edge Physical Therapy And Sports Medicine P.C. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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