ROOT & BRANCH PHYSICAL THERAPY LLC NPI 1164899373

NPI Information

  • NPI: 1164899373
  • Provider Name: ROOT & BRANCH PHYSICAL THERAPY LLC
  • Classification: Physical Therapist - 225100000X
  • Entity Type: Organization
  • Address: 1305 SE MLK JR BLVD STE 101
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 577-0318

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NPI Details

ROOT & BRANCH PHYSICAL THERAPY LLC is a physical therapist in Portland, OR. The provider is physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. ROOT & BRANCH PHYSICAL THERAPY LLC NPI is 1164899373. The provider is registered as an organization entity type.

The provider's business location address is:

1305 SE MLK JR BLVD STE 101
PORTLAND, OR
ZIP 97214-457
Phone: (503) 577-0318
Fax: (503) 710-9221

The provider's authorized official is Alex Delapaz .
The authorized official title is Owner and has the following contact phone number (503) 577-0318.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 6/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical Therapy60188OREGONNo
2225100000XPhysical Therapist60188OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11255888483OTHEROREGONTYPE 1 NPI
21114350899OTHEROREGONTYPE 1 NPI
3500697684MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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