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

Mr. Shane Michael Peterson, DPT

Individual provider Physical Therapist · NPI 1336445535

Mr. Shane Michael Peterson, DPT is a Physical Therapist in Forest Grove, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
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

3300 19th Ave
Forest Grove, OR 97116
Phone: (503) 357-7119
Fax: (503) 992-2097
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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 06407 (OR)

Record details

NPI number1336445535
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 4, 2011
Last updated in NPPESFebruary 4, 2011

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