Rehab Specialists Outpatient LLC
NPI 1952075962 · Clinic/Center · Portland, OR
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rehab Specialists Outpatient LLC is a Clinic/Center organization in Portland, OR (NPI 1952075962).
Provider details
- NPI number
- 1952075962
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Fogg, Owner(971) 206-5200
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Agestrong Holladay Park Plaza
Additional practice locations (1)
- 4560 Se International Way Ste 100Milwaukie, OR 97222-4628Phone: (971) 206-5200
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Frequently asked questions
- What is Rehab Specialists Outpatient LLC's NPI number?
- Rehab Specialists Outpatient LLC's National Provider Identifier (NPI) is 1952075962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rehab Specialists Outpatient LLC?
- Rehab Specialists Outpatient LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Rehab Specialists Outpatient LLC located?
- Rehab Specialists Outpatient LLC's practice location on file with NPPES is 1300 Ne 16th Ave, Portland, OR 97232-1467.
- What is Rehab Specialists Outpatient LLC's phone number?
- The practice phone number listed in the NPPES registry for Rehab Specialists Outpatient LLC is (503) 288-6671.
- Does Rehab Specialists Outpatient LLC accept Medicare?
- Rehab Specialists Outpatient LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rehab Specialists Outpatient LLC?
- The authorized official listed on Rehab Specialists Outpatient LLC's NPPES record is Phillip Fogg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rehab Specialists Outpatient LLC's NPI active?
- Yes — Rehab Specialists Outpatient LLC's NPI (1952075962) is active in the NPPES registry as of the last update on 2025-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.