Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Lake Physical Therapy and Rehabilitation, Inc

Organization Physical Therapist · NPI 1376810671

North Lake Physical Therapy and Rehabilitation, Inc provides Physical Therapist services in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1420 NW 17th Ave Ste 388
Portland, OR 97209-2447 Not confirmed with CMS for 14 years — call before visiting
Phone: (503) 222-4640
Fax: (503) 222-2730
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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 number1376810671
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Lake Physical Therapy and Rehabilitation, Inc
Authorized official Michael Choate — President, North Lake Physical Ther · (503) 636-3028
Other names Kosta, Choate And Pierson, Inc.
NPI enumeratedNovember 30, 2011
Last updated in NPPESNovember 30, 2011
Mailing address101 S State St Ste 200g, Lake Oswego, OR 97034-3900

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