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

Robert Reynoso

Individual provider Physical Therapist · NPI 1649845728

Robert Reynoso is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2021, 5 years ago. Practices with Erhardt Physical Therapy and Sports Medicine LLC, a 58-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

11709 SW Beaverton Hillsdale Hwy Ste B-6
Beaverton, OR 97005-2992
Phone: (971) 327-4906
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1649845728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Erhardt Physical Therapy And Sports Medicine Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beaverton