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

Kristoffer De Leon

Individual provider Physical Therapist · NPI 1821828849

Kristoffer De Leon is a Physical Therapist in Private Practice in Dallas, Oregon. Qualified in 2024, 2 years ago. Practices with Northwest Rehabilitation Associates Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024

Practice location Address checks out

210 W Ellendale Ave Ste 100
Dallas, OR 97338-1790
Phone: (503) 623-2433
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65442 (OR)

Record details

NPI number1821828849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address210 W Ellendale Ave Ste 100, Dallas, OR 97338-1790

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northwest Rehabilitation Associates Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas