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

Rylee Pittullo

Individual provider Physical Therapist · NPI 1043146855

Rylee Pittullo is a Physical Therapist in Private Practice in Gresham, Oregon. Practices with New Proactive LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Oregon.

Licensed in
OR
In the registry since
2026
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Practice location Address checks out

25500 SE Stark St Ste 103
Gresham, OR 97030-8327
Phone: (503) 328-0222
Fax: (503) 328-0223
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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 66147 (OR)

Record details

NPI number1043146855
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gresham