ADVANCE SPORTS & SPINE THERAPY LLC – Physical Therapist, NPI 1669405767

ADVANCE SPORTS & SPINE THERAPY LLC is a healthcare provider. based in Wilsonville, Oregon. specializing in Physical Therapist. The NPI Number for ADVANCE SPORTS & SPINE THERAPY LLC is 1669405767

Main info

Organization
Name
ADVANCE SPORTS & SPINE THERAPY LLC
NPI
1669405767
Phone
(503) 723-0347
Address
PO BOX 592
Authorized Official
MR. NOEL M TENOSO OWNER P.T.
Enumeration Date
9 July 2006
Last Update Date
3 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ADVANCE SPORTS & SPINE THERAPY LLC

  • PO BOX 592

    25030 PARKWAY AVE #101

    WILSONVILLE, OR 97070

    Phone: (503) 723-0347

    Fax: (503) 655-9305

    Type: Mailing

  • Stafford Woods, 25030, Southwest Parkway Avenue, Mulloy, Wilsonville, Washington County, Oregon, 97070, United States

    #101

    WILSONVILLE, OR 97070

    Phone: (503) 723-0347

    Fax: (503) 655-9305

    Type: Location

  • 1554 GARDEN ST STE 103

    WEST LINN, OR 970683278

    Phone: (503) 723-0347

    Fax: (503) 655-9305

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97070)

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Reviews

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Frequently asked questions

What unique ID ties claims to ADVANCE SPORTS & SPINE THERAPY LLC?
NPI 1669405767 is assigned to ADVANCE SPORTS & SPINE THERAPY LLC under the national enumeration system.
Is ADVANCE SPORTS & SPINE THERAPY LLC active in the national directory?
ADVANCE SPORTS & SPINE THERAPY LLC's public NPI profile is in an active state.
What kind of provider is ADVANCE SPORTS & SPINE THERAPY LLC?
The page reflects Physical Therapist for ADVANCE SPORTS & SPINE THERAPY LLC. Clinical services aligned with this taxonomy classification.
Where is ADVANCE SPORTS & SPINE THERAPY LLC's primary listing?
We display Wilsonville, Oregon because that is what the record indicates for ADVANCE SPORTS & SPINE THERAPY LLC.
How can I contact ADVANCE SPORTS & SPINE THERAPY LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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