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

Dylan Fors, PT

Individual provider Physical Therapist · NPI 1871128835

Dylan Fors, PT is a Physical Therapist in Private Practice in Roseburg, Oregon. Qualified in 2019, 7 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2020
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

2040 NW Newcastle St
Roseburg, OR 97471-1657
Phone: (541) 673-1808
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63579 (OR)

Record details

NPI number1871128835
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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