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PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC.
NPI 1215127873
Physical Therapist - Orthopedic in Portland, OR

Active since July 30, 2007
1610 SE GLENWOOD ST, PORTLAND, OR 97202(503) 230-1744(503) 230-1745 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Portland Sports Medicine & Spine Physical Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC. (NPI 1215127873) is a healthcare organization registered as an orthopedic in Portland, Oregon and active in the NPI registry since July 2007. The organization lists Michael Paul Quesnell, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1215127873
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePORTLAND SPORTS MEDICINE & SPINE PHYSICAL THERAPY INC.
Location Address1610 SE GLENWOOD STPortland, OR 97202-5615
Mailing Address1610 Se Glenwood StPortland, OR 97202-5615 · (503) 230-1744 · Fax (503) 230-1745
Phone(503) 230-1744
Fax(503) 230-1745
Organization SubpartNo
Authorized OfficialMichael Paul QuesnellPhysical Therapist · (503) 230-1744
Enumeration DateJuly 30, 2007
✔ NPI 1215127873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OR · 4503
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1610 SE GLENWOOD ST, Portland, OR 97202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Sports Medicine & Spine Physical Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Portland Sports Medicine & Spine Physical Therapy Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Aimee Guarriello, PT, OCS, CSCS
Physical Therapist in Private Practice
NPI 1689703944
1610 SE GLENWOOD ST
Portland, OR 97202
(503) 230-1744
✔ Accepts MedicareSame address
Michael Quesnell, P.T.
Physical Therapist in Private Practice
NPI 1497775480
1610 SE GLENWOOD ST
Portland, OR 97202
(503) 230-1744
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Sports Medicine & Spine Physical Therapy Inc.'s NPI number?

The NPI number for Portland Sports Medicine & Spine Physical Therapy Inc. is 1215127873. It was assigned to this organization in the NPPES registry on July 30, 2007.

Where is Portland Sports Medicine & Spine Physical Therapy Inc. located?

Portland Sports Medicine & Spine Physical Therapy Inc. is located at 1610 SE Glenwood St, Portland, OR 97202. The listed phone number is (503) 230-1744.

What is Portland Sports Medicine & Spine Physical Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Portland Sports Medicine & Spine Physical Therapy Inc. enrolled in Medicare?

Yes. Portland Sports Medicine & Spine Physical Therapy Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Sports Medicine & Spine Physical Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Portland Sports Medicine & Spine Physical Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Sports Medicine & Spine Physical Therapy Inc. accept?

Health plans from Moda Health Plan, Inc. list Portland Sports Medicine & Spine Physical Therapy Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Sports Medicine & Spine Physical Therapy Inc. was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.