Engstrom Physical Therapy and Performance Training LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENGSTROM PHYSICAL THERAPY AND PERFORMANCE TRAINING LLC

Practice address

52490 SE 2ND St Ste 120
Scappoose, OR 97056-3640

Phone

(971) 275-3595

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By 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

Devon Engstrom, DPTNPI 1306350160

Title

Owner

Phone

(971) 275-3595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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.

• Devon M Engstrom, DPT

  • Physical Therapist
  • McMinnville, OR
  • NPI 1306350160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1902491426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52490 SE 2ND ST STE 120",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52490 SE 2ND ST STE 120",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563640",
            "telephone_number": "971-275-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGSTROM PHYSICAL THERAPY AND PERFORMANCE TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-275-3595",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Micheal Domby, D.C.
• Mary Davey Dower, LCSW
• Eea Company (Columbia Care Center)
• Jamie Marie Ellis, DC
• Emeritus Corporation (Brookdale Rose Valley Scappoose)
• Justin S Engstrom, M.S.
• Erhardt Physical Therapy and Sports Medicine, LLC (ATI Physical Therapy)
• Jonathan Wade Erhardt, P.T.
• Sarah Kathleen Esdaile, PA-C
• Brandy Estoos, LMT

• Physical Therapy Clinic/Center in Scappoose, OR
• Providers in Scappoose, 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 Mar 5, 2021; 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.