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

Pettygrove Physical Therpay Associates LLC

Organization Physical Therapist · NPI 1750420063

Pettygrove Physical Therpay Associates LLC provides Physical Therapist services in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 NW 18th Ave Ste 400
Portland, OR 97123
Phone: (503) 228-1306
Fax: (503) 228-1307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1750420063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Stallings — Office Manager · (503) 228-1306
Other names Pettygrove Physcial Therapy & Sports Rehabilitation
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1515 Nw 18th Ave, Suite 400, Portland, OR 97123

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