OrganizationActive
Pinnacle Physical Therapy LLC.
NPI 1396979761 · Physical Therapy Clinic/Center · Dallas, OR
Provider details
- NPI number
- 1396979761
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pinnacle Physical Therapy LLC
- Organization subpart
- Yes
- Authorized official
- Bobby Ismail, Ceo(209) 576-0888
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 West Ellendale Ave.
Suite 100
Dallas, OR 97338-0000
Phone: (503) 623-2433
Fax: (503) 623-2196
Street-level locationGet directions
Mailing address
4025 Cherry Ave Ne
Keizer, OR 97303-4859
Registry dates
- Enumerated
- 2009-05-13
- Last updated
- 2021-06-10
- Certified
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.