OrganizationTrails End Physical Therapy, LlcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1506 Washington St, Oregon City, OR 97045-1450(503) 655-6777PECOS EnrollmentBased on the most recent information from CMS, provider Trails End Physical Therapy, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497872022Provider TypeOrganizationFull NameTrails End Physical Therapy, LlcSubpartNoEnumeration Date3/26/2007Last Updated2/18/2013Contact InformationPractice LocationPractice Address1506 Washington St, Oregon City, OR 97045-1450Phone(503) 655-6777Fax(503) 655-6778Mailing LocationMailing Address1506 Washington St, Oregon City, OR 97045-1450Phone(503) 655-6777Fax(503) 655-6778Authorized OfficialNameKlein, Dawn Marie (Physical Therapist)Phone(503) 655-6777Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1851OregonCode225700000XDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10635OregonProvider IdentifiersIDDescriptionIssuerID298959DescriptionMedicaidIssuerUnlistedOregon