RANDY DITTMAR PT
NPI 1376142133
Physical Therapist in Lake Oswego, OR

Active since October 22, 2020
17550 PROVOST ST STE 201, LAKE OSWEGO, OR 97034(503) 872-2440 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Randy Dittmar Pt NPPES

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

RANDY DITTMAR PT (NPI 1376142133) is an individual physical therapist in Lake Oswego, Oregon, licensed in Oregon (3916) and active in the NPI registry since October 2020. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1376142133
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRANDY DITTMARCredential: PT
Location Address17550 PROVOST ST STE 201Lake Oswego, OR 97034-5199
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Enumeration DateOctober 22, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1376142133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OR · 3916
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
17550 PROVOST ST STE 201, Lake Oswego, OR 97034

Secondary Practice Location 1

Location 110120 SW Park WayPortland, OR 97225-5008 · Phone (503) 572-7065

Other Providers at the Same Location NPPES 10

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

Physician Assistant
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Family Medicine
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Family Medicine
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Physical Therapist
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Family Medicine
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Physical Therapist
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Family Medicine
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034
Physical Therapist
17550 PROVOST ST STE 201
LAKE OSWEGO, OR 97034

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 Randy Dittmar's NPI number?

The NPI number for Randy Dittmar is 1376142133. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Randy Dittmar located?

Randy Dittmar practices at 17550 Provost St Ste 201, Lake Oswego, OR 97034. The listed phone number is (503) 872-2440.

What is Randy Dittmar's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Randy Dittmar was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.