Dalton J Urrutia, PT
Individual provider Active NPI Orthopedic Physical Therapist · Independence, OR
NPI 1124743059 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1124743059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 62867 (OR)
- Practice address
- 1399 Monmouth St
Independence, OR 97351-1126 - Phone
- (562) 507-1140
- NPI assigned
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 62867 | OR | Yes |
Addresses
Primary practice location
1399 Monmouth St
Independence, OR 97351-1126
Mailing address
11918 SE Division St Ste 2121
Portland, OR 97266-1037
Phone (562) 507-1140
Other providers in Independence, OR
- Alpheus Martin Thornton Jr.
- Sharon Cash Thornton
- Ulysses Trujillo-Cruz
- Paul D Turgesen
- Urrutia Holdings LLC
- Andrew Vanderwall
- Sarah Marie Vanselow
- Amanda Vitelli
- Holli Watkin
- Keith Allen White
All providers in Independence, OR · Orthopedic Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.