NPIMap

Organization Active NPI

Bridgetown Physical Therapy and Training Studio, PC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1194907873
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4996 Issued in OR
Legal business name
BRIDGETOWN PHYSICAL THERAPY AND TRAINING STUDIO, PC
Practice address
1500 SW 1St Ave Ste 150
Portland, OR 97201-5900
Phone
(503) 222-1955
Fax
(503) 222-1485
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Omar Alejandro Martinez
Title
Office Manager
Phone
(503) 222-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 4996 OR Primary

Addresses

Primary practice location

1500 SW 1St Ave Ste 150
Portland, OR 97201-5900

Mailing address

1500 SW 1St Ave Ste 150
Portland, OR 97201-5900
Phone (503) 222-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080123000925 OR Part B Supplier - Clinic/Group Practice 2264514652 Receives reassigned benefits from 15 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

1800 NW Upshur St
Ste 150
Portland, OR 97209
Phone (503) 719-5318

1500 SW 1st Ave
Ste 150
Portland, OR 97201
Phone (503) 222-1955

1420 SW Broadway
Portland, OR 97201
Phone (503) 222-1955

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1194907873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015900",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015900",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETOWN PHYSICAL THERAPY AND TRAINING STUDIO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-222-1955"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.