111th Square Fitness and Therapy, LLC
111th Square Fitness and Therapy, LLC provides Physical Therapist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.
- Licensed in
- OR
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11126 NE Halsey StPortland, OR 97220-2021 Not confirmed with CMS for 17 years — call before visiting
Phone: (503) 256-5200
Fax: (503) 253-7958
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 0355 (OR) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 1333261 (OR) |
| Massage Therapist | Taxonomy 225700000X · Licence 15397 (OR) |
Record details
| NPI number | 1750521985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Linda Sanchez — Maker · (503) 256-5200 |
| NPI enumerated | February 27, 2009 |
| Last updated in NPPES | February 27, 2009 |
| Mailing address | 11126 Ne Halsey St, Portland, OR 97220-2021 |
Other providers in Portland
-
Ryan David Abbott, PT
10215 SW Park Way Ste D, Portland, OR 97225-5036 · (503) 292-3583
-
Daniel Abdie
4876 NW Bethany Blvd Ste L1, Portland, OR 97229-9259 · (503) 443-6156
-
Stacey Leann Abosamra, PT, DPT
2330 NW Flanders St Ste G1, Portland, OR 97210-3441 · (503) 223-1856
-
Martyna Adamiec
1111 NE 99th Ave Ste 300, Portland, OR 97220-9442 · (503) 216-5410