# PINNACLE PHYSICAL THERAPY LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINNACLE PHYSICAL THERAPY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396979761
- **Legal business name:** PINNACLE PHYSICAL THERAPY LLC
- **Authorized official:** BOBBY ISMAIL (CEO)
- **Authorized official phone:** (209) 576-0888

## Contact information

- **Practice address:** 210 WEST ELLENDALE AVE., SUITE 100, DALLAS, OR 97338-0000
- **Practice address phone:** (503) 623-2433
- **Practice address fax:** (503) 623-2196
- **Mailing address:** 4025 CHERRY AVE NE, KEIZER, OR 97303-4859
- **Mailing address phone:** (503) 390-9009
- **Mailing address fax:** (503) 393-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2009
- **Last updated:** 06/10/2021