Provider Demographics
NPI:1932919800
Name:FOREST PARK PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:FOREST PARK PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BELTRAMO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:503-459-1097
Mailing Address - Street 1:2311 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2632
Mailing Address - Country:US
Mailing Address - Phone:503-459-1097
Mailing Address - Fax:
Practice Address - Street 1:2311 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2632
Practice Address - Country:US
Practice Address - Phone:503-459-1097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty