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

Ruth Lydia Holloran, PT

Individual provider Physical Therapist · NPI 1396033676

Ruth Lydia Holloran, PT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Brain Rehab Network Oregon Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7204 SW Durham Rd Ste 100
Portland, OR 97224-7574
Phone: (503) 941-9869
Fax: (503) 352-5555
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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 5949 (OR)

Record details

NPI number1396033676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Brain Rehab Network Oregon Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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