IndividualActive
Rebecca Crockett, DPT
NPI 1649784018 · Pediatric Physical Therapist · Gresham, OR
Provider details
- NPI number
- 1649784018
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 61747 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
304 Ne Hood Ave
Gresham, OR 97030-7450
Phone: (503) 666-1333
Fax: (503) 666-2444
Approximate (ZIP-level) locationGet directions
Mailing address
304 Ne Hood Ave
Gresham, OR 97030-7450
Registry dates
- Enumerated
- 2017-11-21
- Last updated
- 2017-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.