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

Individual provider Physical Therapist · NPI 1669925582

Nicholas Ponzetti, DPT is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2016.

In the registry since
2016
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

4540 NE Glisan St
Portland, OR 97213-2333
Phone: (503) 215-3738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1669925582
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 27, 2016
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address4830 Se Stark St Apt 3, Portland, OR 97215-1762

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