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TREVOR THOMAS PETTIGREW PT DPT NPI 1245710847


NPI Information

NPI: 1245710847
Provider Name: TREVOR THOMAS PETTIGREW, PT, DPT
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Organization: PROVIDENCE HEALTH AND SERVICES OREGON Address:
507 NE 47TH AVE
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6488
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Trevor Thomas Pettigrew, PT, DPT is a sports physical therapist in Portland, OR with 9 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Trevor Thomas Pettigrew, PT, DPT NPI is 1245710847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

507 NE 47TH AVE
PORTLAND, OR
ZIP 97213-236
Phone: (503) 215-6488

The enumeration date for this NPI number is 8/14/2018 and was last updated on 8/14/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic61193OREGONNo
22251S0007XPhysical TherapistSports61193OREGONYes

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: 11/14/2023

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