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

Root & Branch Integrative Fitness

Organization Physical Therapist · NPI 1215490347

Root & Branch Integrative Fitness provides Physical Therapist services in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1235 SE Grand Ave
Portland, OR 97214-3435
Phone: (503) 577-0318
Fax: (503) 710-9221
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 number1215490347
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRoot & Branch Physical Therapy
Authorized official Alex De La Paz — Owner · (503) 577-0318
NPI enumeratedApril 6, 2019
Last updated in NPPESAugust 29, 2021
Certification dateAugust 29, 2021
Mailing address12575 Sw Douglas St, Portland, OR 97225-4539

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