Organization Active NPI

Victory Physical Therapy Partners

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1104502319
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VICTORY PHYSICAL THERAPY PARTNERS
Practice address
1241 NE 48TH Ave
Hillsboro, OR 97124-5008
Phone
(503) 693-8105
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Sayer, DPTNPI 1629227772
Title
Co Owner
Phone
(503) 693-8105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1241 NE 48TH Ave
Hillsboro, OR 97124-5008

Mailing address

11637 NW Pinyon St
Portland, OR 97229-7509
Phone (312) 343-3811

Other names 1

  • Victory Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806001595 OR Part B Supplier - Clinic/Group Practice 2860939055 Receives reassigned benefits from 2 practitioners
Practice locations: Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

1241 NE 48th Ave
Hillsboro, OR 97124
Phone (312) 343-3811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1104502319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 NW PINYON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297509",
            "telephone_number": "312-343-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-693-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PHYSICAL THERAPY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "SAYER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "503-693-8105",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victory Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.