# OREGON COASTAL REHAB/DBA NEWPORT PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Newport Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073876041
- **Authorized official:** RENEE ROBERTS (MANAGER)
- **Authorized official phone:** (541) 265-4252

## Contact information

- **Practice address:** 111 SE DOUGLAS ST STE B, NEWPORT, OR 97365-4400
- **Practice address phone:** (541) 265-4252
- **Practice address fax:** (541) 265-8914
- **Mailing address:** 111 SE DOUGLAS ST STE B, NEWPORT, OR 97365-4400
- **Mailing address phone:** (541) 265-4252
- **Mailing address fax:** (541) 265-8914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5955 | OR | Yes |

## Other

- **Enumeration date:** 06/24/2012
- **Last updated:** 10/01/2025