Root & Branch Physical Therapy Llc in Portland, OR - Medicare Physical Therapist Provider

Root & Branch Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. Their current practice location is 1305 Se Mlk Jr Blvd Ste 101, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 577-0318.

Root & Branch Physical Therapy Llc is licensed to practice in Oregon (license number 60188) and it also participates in the medicare program. Root & Branch Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164899373.

Contact Information

	Root & Branch Physical Therapy Llc
	1305 Se Mlk Jr Blvd Ste 101, Portland, OR 97214-3457
	(503) 577-0318
	(503) 710-9221

Map and Direction

Healthcare Provider's Profile

Full Name	Root & Branch Physical Therapy Llc
Type	Facility
Speciality	Physical Therapist
Location	1305 Se Mlk Jr Blvd Ste 101, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164899373
Provider Enumeration Date: 08/24/2015
Last Update Date: 06/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8729386636
Enrollment ID: O20160408001740

Medical Identifiers

Medical identifiers for Root & Branch Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164899373	NPI	-	NPPES
1255888483	Other	OR	TYPE 1 NPI
1114350899	Other	OR	TYPE 1 NPI
500697684	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	60188 (Oregon)	Primary
261QP2000X	Clinic/center - Physical Therapy	60188 (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Root & Branch Physical Therapy Llc acts as a billing entity for following providers:

Provider Name	Alex L Delapaz
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1114350899 PECOS PAC ID: 4587898929 Enrollment ID: I20131017002017

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Root & Branch Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Root & Branch Physical Therapy Llc 1305 Se Mlk Jr Blvd Ste 101, Portland, OR 97214-3457 Ph: (503) 577-0318	Root & Branch Physical Therapy Llc 1305 Se Mlk Jr Blvd Ste 101, Portland, OR 97214-3457 Ph: (503) 577-0318

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500
Lane Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd, Portland, OR 97225 Phone: 503-906-4323 Fax: 503-906-4333

Root & Branch Physical Therapy Llc - Medicare Physical Therapist in Portland, OR