Wildwood Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILDWOOD PHYSICAL THERAPY LLC

Practice address

3531 NE 15TH Ave Ste a
Portl, OR 97212

Phone

(971) 200-1535

Fax

(971) 231-0238

NPI assigned

Nov 22, 2021

Last updated

Feb 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kana Arreguin, PT, DPTNPI 1043598881

Title

Co-Owner

Phone

(971) 200-1535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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.

• Kana Arreguin, PT, DPT

  • Physical Therapist
  • Portland, OR
  • NPI 1043598881
  Medicare reassignment Care Compare group NPD Authorized official
• Raymond Joseph Arreguin Jr., PT, DPT

  • Physical Therapist
  • Portland, OR
  • NPI 1730467861
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1336806579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 NE 15TH AVE STE A",
            "city": "PORTL",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "971-200-1535",
            "fax_number": "971-231-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 NE 15TH AVE STE A",
            "city": "PORTL",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "971-200-1535",
            "fax_number": "971-231-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "ARREGUIN",
        "authorized_official_first_name": "KANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "971-200-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.