Physical Therapist
111TH SQUARE FITNESS AND THERAPY, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750521985 · enumerated 2009-02-27 · record updated 2009-02-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. LINDA SANCHEZ, maker · (503) 256-5200
Addresses and phones
- Mailing address 11126 NE HALSEY ST, PORTLAND, OR, 97220-2021 (503) 256-5200 Fax (503) 253-7958 Google Maps Apple Maps OpenStreetMap
- Practice location 11126 NE HALSEY ST, PORTLAND, OR, 97220-2021 (503) 256-5200 Fax (503) 253-7958 Google Maps Apple Maps OpenStreetMap
Specialties
- Massage Therapist 225700000X · License 15397 OR
- Specialist/Technologist, Athletic Trainer 2255A2300X · License 1333261 OR
- Physical Therapist 225100000X · Primary · License 0355 OR
In this directory
Locations and evidence
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Practice location
PORTLAND, OR, 972202021
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.