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

Mrs. Angela Corvera Connelly, BSPT

Individual provider Physical Therapist · NPI 1750497822

Mrs. Angela Corvera Connelly, BSPT is a Physical Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in California, Colorado, Oregon and Washington.

Licensed in
CA, CO, OR, WA
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

2701 NW Vaughn St
Portland, OR 97210-5311
Phone: (503) 721-6800
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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 4705 (OR)
Physical Therapist Taxonomy 225100000X · Licence 15088 (CA)
Physical Therapist Taxonomy 225100000X · Licence 4863 (CO)
Physical Therapist Taxonomy 225100000X · Licence PT00009440 (WA)

Record details

NPI number1750497822
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSPT
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

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