MEDICARE: ROOTED PELVIC HEALTH & RECOVERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1700762184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED PELVIC HEALTH & RECOVERY LLC

Provider Business Mailing Address
First Line	:	2149 CASCADE AVE STE 106A-144
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1087
Country	:	US
Telephone Number	:	541-716-1420
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 COLUMBIA ST
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1720
Country	:	US
Telephone Number	:	541-716-1420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE B MENTCH
Credential	:	PT, DPT
Telephone Number	:	541-716-1420

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	12/17/2025

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