- Practice location
- 11000 SW 11TH St Ste 440B, Beaverton, OR 97005-4107
- Phone
- 503-387-5449
- Fax
- 503-342-6846
- Last updated
- June 8, 2021
Active Edge Physical Therapy & Sports Medicine P.c. is a healthcare organization based in Beaverton, OR. Active Edge Physical Therapy & Sports Medicine P.c. practices in Beaverton, OR. The NPI Number for Active Edge Physical Therapy & Sports Medicine P.c. is 1912574906. The current practice location address for Active Edge Physical Therapy & Sports Medicine P.c. is 11000 SW 11TH St Ste 440B, Beaverton, OR 97005-4107 and can be reached out via phone at 503-387-5449 and via fax at 503-342-6846.
Provider Profile Details
- NPI Number
- 1912574906
- Provider Name
- Active Edge Physical Therapy & Sports Medicine P.c.
- Provider Entity Type
- Organization
- Address
- 11000 SW 11TH St Ste 440B, Beaverton, OR 97005-4107
- Phone Number
- 503-387-5449
- Fax Number
- 503-342-6846
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- Yes
- Parent Organization
- Active Edge Physical Therapy & Sports Medicine P.c.
- Authorized Official
- Daniel C Morlan, PT · President · 503-387-5449
- Other Names
- Active Edge Physical Therapy (Doing Business As)
- Provider Enumeration Date
- June 8, 2021
- Last Update Date
- June 8, 2021
- Certification Date
- June 8, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11000 SW 11TH St Ste 440B
Beaverton, OR 97005-4107 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-4107
- Phone Number
- 503-387-5449
- Fax Number
- 503-342-6846
Provider Business Mailing Address Details
- Address
- 2020 8TH Ave Ste D
West Linn, OR 97068-4657 - City
- West Linn
- State
- OR
- Zip
- 97068-4657
- Phone Number
- 503-387-5449
- Fax Number
- 503-342-6846
License Information
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Active Edge Physical Therapy & Sports Medicine P.c.?
The NPI number of Active Edge Physical Therapy & Sports Medicine P.c. is 1912574906. It was assigned on June 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Active Edge Physical Therapy & Sports Medicine P.c.?
Active Edge Physical Therapy & Sports Medicine P.c. is registered under the primary taxonomy Physical Therapist (code 225100000X).
Where does Active Edge Physical Therapy & Sports Medicine P.c. practice?
The practice location is 11000 SW 11TH St Ste 440B, Beaverton, OR 97005-4107. The office can be reached at 503-387-5449 (phone) or 503-342-6846 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912574906 directly on the NPPES registry website.