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

Mitchell Scott Mahoney, DPT

Individual provider Physical Therapist · NPI 1457925620

Mitchell Scott Mahoney, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2019, 7 years ago. Practices with Sportscare Physical Therapy @ Cornell, LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3871 Fairview Industrial Dr SE Ste 120
Salem, OR 97302-1172
Phone: (503) 990-6393
Fax: (503) 212-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9260 Se Stark St, Portland, OR 97216-1675 — (503) 255-1500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63616 (OR)

Record details

NPI number1457925620
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address9260 Se Stark St, Portland, OR 97216-1675

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 Sportscare Physical Therapy @ Cornell, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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