# PEDAL PT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pedal PT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578818951
- **Authorized official:** MR. KEVIN SCHMIDT MSPT, CMP (PHYSICAL THERAPIST, OWNER)
- **Authorized official phone:** (503) 453-4993

## Contact information

- **Practice address:** 2622 SE 25TH AVE, SUITE B, PORTLAND, OR 97202-1217
- **Practice address phone:** (503) 453-4993
- **Mailing address:** 2719 SE 65TH AVE, PORTLAND, OR 97206-1201
- **Mailing address phone:** (503) 453-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 4465 | OR | Yes |

## Other

- **Enumeration date:** 07/20/2012
- **Last updated:** 07/20/2012