# AXIS PHYSICAL THERAPY & REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144382904
- **Authorized official:** CHRISTOPHER SQUIRES (PRESIDENT)
- **Authorized official phone:** (541) 683-6187

## Contact information

- **Practice address:** 4660 MAIN STREET, D600-1, SPRINGFIELD, OR 97478
- **Practice address phone:** (541) 683-6187
- **Practice address fax:** (541) 689-4525
- **Mailing address:** 4660 MAIN ST, D600-1, SPRINGFIELD, OR 97478-6087
- **Mailing address phone:** (541) 683-6187
- **Mailing address fax:** (541) 689-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 03/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 181410 | — | OR |