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

Wayne Vannewkirk

Individual provider Physical Therapist · NPI 1568277655

Wayne Vannewkirk is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2024, 2 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17355 Boones Ferry Rd Ste B
Lake Oswego, OR 97035-5225
Phone: (503) 635-0844
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1568277655
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address16083 Sw Upper Boones Ferry Rd, Portland, OR 97224-7736

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego