Wildwood Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Portl, Oregon. Their current practice location is
3531 Ne 15th Ave Ste A, Portl, Oregon. You can reach out to their office (for appointments etc.) via phone at
(971) 200-1535.
Wildwood Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wildwood 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 1336806579.
Healthcare Provider's Profile
| Full Name | Wildwood Physical Therapy Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 3531 Ne 15th Ave Ste A, Portl, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336806579
- Provider Enumeration Date: 11/22/2021
- Last Update Date: 02/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991196586
- Enrollment ID: O20211215000198
Medical Identifiers
Medical identifiers for Wildwood Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336806579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wildwood Physical Therapy Llc acts as a billing entity for following providers:
| Provider Name | Raymond J Arreguin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1730467861 PECOS PAC ID: 7517130347 Enrollment ID: I20111024000169 |
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| Provider Name | Kana Arreguin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1043598881 PECOS PAC ID: 1456613009 Enrollment ID: I20180320002787 |
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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. Wildwood 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 |
Wildwood Physical Therapy Llc 3531 Ne 15th Ave Ste A, Portl, OR 97212 Ph: (971) 200-1535 | Wildwood Physical Therapy Llc 3531 Ne 15th Ave Ste A, Portl, OR 97212 Ph: (971) 200-1535 |
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