# MOMENTUM PERFORMANCE & PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1154124857
- **Authorized official:** CLARISSA FREEMAN-PANCOAST PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (850) 974-3297

## Contact information

- **Practice address:** 734 NE BAKER ST, MCMINNVILLE, OR 97128-4927
- **Practice address phone:** (503) 376-4224
- **Mailing address:** 1942 NW KALE WAY, MCMINNVILLE, OR 97128-1628
- **Mailing address phone:** (503) 376-4224

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2025
- **Last updated:** 01/14/2026