Advanced Orthopedic Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5105 Issued in OR

Legal business name

ADVANCED ORTHOPEDIC PHYSICAL THERAPY, P.C.

Practice address

700 N Deborah Rd Ste 100
Newberg, OR 97132-2199

Phone

(541) 399-6961

NPI assigned

Dec 4, 2012

Last updated

Apr 27, 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

Nathan Glenndale PhelpsNPI 1992890446

Title

Owner

Phone

(503) 537-7070

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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.

• Nathan Glenndale Phelps, DPT

  • Physical Therapist
  • Newberg, OR
  • NPI 1992890446
  Medicare reassignment Authorized official
• Amy Leigh Ouellette, DPT

  • Pediatric Physical Therapist
  • Sherwood, OR
  • NPI 1053383430
  Medicare reassignment NPD
• Jessica Smith, OTR/L

  • Occupational Therapist
  • Newberg, OR
  • NPI 1871070649
  Medicare reassignment NPD
• Brent Matthew McLeod, D.P.T

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1689908949

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1861737769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E GRAND OAK DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327387",
            "telephone_number": "541-399-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DEBORAH RD STE 100",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322199",
            "telephone_number": "541-399-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDIC PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "GLENNDALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-537-7070"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID  (AS INDIVIDUAL PROVIDER)",
            "identifier": "12268250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005727",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #2623)
• Wayne V Adams, PHD
• Aging With Ability
• Chanel Rich Lamug Aguilar
• Olivia Akers
• Jennifer Lynn Allaway, RDN, LD
• Kate Erin Allen, MSW

• Physical Therapy Clinic/Center in Newberg, OR
• Providers in Newberg, OR by specialty
• Physical Therapy Clinic/Center in Oregon

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