# CARBON PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1710682240
- **Authorized official:** PETER MARTIN DPT (OWNER)
- **Authorized official phone:** (503) 877-4974

## Contact information

- **Practice address:** 6250 COMMERCIAL ST SE, SALEM, OR 97306-2988
- **Practice address phone:** (503) 877-4974
- **Practice address fax:** (503) 822-0328
- **Mailing address:** 4742 LIBERTY RD S \# 2032, SALEM, OR 97302-5037
- **Mailing address phone:** (503) 877-4974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 08/04/2026