Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Physical Therapy

Organization Physical Therapist · NPI 1912688748

Longevity Physical Therapy provides Physical Therapist services in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1655 SE Umatilla St
Portland, OR 97202-7212
Phone: (636) 288-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1912688748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Sellers — Managing Member/Owner · (636) 288-0641
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address1655 Se Umatilla St, Portland, OR 97202-7212

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