111th Square Fitness and Therapy, LLC
NPI 1750521985ActiveOrganization· Physical Therapist· Portland, OR
Physical Therapist in Portland, Oregon, registered in NPPES in February 2009. The authorized official on file is Linda Josephine Sanchez, Maker.
Overview
| NPI | 1750521985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2009 |
| Last updated in NPPES | Feb 27, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0355 | OR |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 1333261 | OR |
| Massage Therapist | 225700000X | 15397 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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