Healthcare Provider Details

I. General information

NPI: 1427691740
Provider Name (Legal Business Name): FIRST STEPS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 10/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 MAIN ST STE 100
OREGON CITY OR
97045-1853
US

IV. Provider business mailing address

8880 SW NIMBUS AVE STE A
BEAVERTON OR
97008-7111
US

V. Phone/Fax

Practice location:
  • Phone: 970-948-0244
  • Fax:
Mailing address:
  • Phone: 503-765-5081
  • Fax: 503-765-5081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL A QUINN
Title or Position: MANAGER
Credential: PT
Phone: 970-948-0244