TREVOR THOMAS PETTIGREW PT, DPT
NPI 1245710847
Physical Therapist - Sports in Portland, OR

Q: What is Trevor Pettigrew's NPI number?

The NPI number for Trevor Pettigrew is 1245710847. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Q: What is Trevor Pettigrew's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Pettigrew was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 14, 2018

507 NE 47TH AVE, PORTLAND, OR 97213(503) 215-6488 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Trevor Thomas Pettigrew Pt, Dpt NPPES

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

TREVOR THOMAS PETTIGREW PT, DPT (NPI 1245710847) is an individual sports provider in Portland, Oregon, licensed in Oregon (61193) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1245710847

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameTREVOR THOMAS PETTIGREWCredential: PT, DPT

Location Address507 NE 47TH AVEPortland, OR 97213-2236

Mailing Address507 Ne 47th AvePortland, OR 97213-2236 · (503) 215-6488

Phone(503) 215-6488

Sole ProprietorNo

Enumeration DateAugust 14, 2018

✔ NPI 1245710847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in OR · 61193

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 61193 (OR)

507 NE 47TH AVE, Portland, OR 97213

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODY MCCLENNY

Physical Therapy Assistant