Douglas Noland Bennett, DPT, CSCS
Individual provider Active NPI Physical Therapist · Wilsonville, OR
NPI 1770083446 · NPPES record last updated Feb 19, 2018
Key facts
- NPI
- 1770083446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 62607 (OR)
- Practice address
- 25030 SW Parkway Ave Ste 100
Wilsonville, OR 97070-9816 - Phone
- (503) 582-1073
- Fax
- (503) 582-1093
- NPI assigned
- Feb 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| Peak Motion, PLLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62607 | OR | Yes |
Addresses
Primary practice location
25030 SW Parkway Ave Ste 100
Wilsonville, OR 97070-9816
Mailing address
13525 SW Aragon St
Beaverton, OR 97005-0820
Phone (971) 570-6818
Other providers in Wilsonville, OR
- Beloved Medical, LLC
- Beloved With You, LLC
- Sydney Nicole Belshe
- John Benassu
- Benchmark Physical Therapy of Or, LLC
- Kimberly Bepler
- Ashley Bertino
- Michael Alan Bevilacqua
- Angela K Binder
- James Black
All providers in Wilsonville, OR · 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 Feb 19, 2018. 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.