Village Physical Therapy, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VILLAGE PHYSICAL THERAPY, LLC

Practice address

8430 SW 22ND Ave
Portland, OR 97219-2856

Phone

(503) 389-5754

Fax

(503) 966-1459

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Tam Cotton

Title

Office Administrator

Phone

(503) 389-5754

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Jonathan David Eng, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1275979007
  NPD
• Lindsay Nelson, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1073376091
  NPD
• Paulie D Heisel, DC

  • Chiropractor
  • Portland, OR
  • NPI 1740877687
  NPD (past)
• Allison Johnson

  • Physical Therapist
  • Portland, OR
  • NPI 1528798741
  NPD (past)
• McKenna Jones, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1962373050
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1639638489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SW COMUS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197561",
            "telephone_number": "503-389-5754",
            "fax_number": "503-966-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 SW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192856",
            "telephone_number": "503-389-5754",
            "fax_number": "503-966-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "503-389-5754"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsbeth Villa
• Marialina Villa
• Nicole Elizabeth Villa
• Sydney Rachel Villa, DO
• Luis Angel Villafuerte Romero
• Itzel Villagomez, MS, CCC-SLP
• Kassandra C Villagomez
• Laura Villagomez
• Marisol Villalpando
• Rolando Villalpando

• Physical Medicine & Rehabilitation Physician in Portland, OR
• Providers in Portland, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.