PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC
NPI 1467413179
Clinic/Center - Physical Therapy in Gresham, OR

NPI Status: Active since March 31, 2006

Contact Information

25500 SE STARK ST
SUITE 103
GRESHAM, OR
ZIP 97030
Phone: (503) 328-0222
Fax: (503) 328-0223

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Physical Therapy

About PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC

This page provides the complete NPI Profile along with additional information for Proactive Orthopedic And Sports Physical Therapy Of Gresham Llc, a provider established in Gresham, Oregon operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1467413179 assigned on March 2006. The practitioner's primary taxonomy code is 261QP2000X with license number 20573 (OR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Larry Dean Krout (Managing Member)

NPI
1467413179
Provider Name
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC
Entity Type
Organization
Location Address
25500 SE STARK ST SUITE 103 GRESHAM, OR 97030
Location Phone
(503) 328-0222
Location Fax
(503) 328-0223
Mailing Address
PO BOX 52194 DEPT CODE 961 PHOENIX, AZ 85072
Mailing Phone
(503) 489-1781
Mailing Fax
(503) 328-0223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2006
Last Update Date
07-25-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
20573
License State
OR
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARRY DEAN KROUT

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(503) 740-8847

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R114778MEDICARE PIN (08)OR 
R134327MEDICARE PIN (08)OR 
R114779MEDICARE PIN (08)OR 

Reviews for PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467413179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 8 + 1 + 6 + 1 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1467413179.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Chiropractor
25500 SE STARK ST, SUITE 201B
GRESHAM, OR 97030
Naturopath
25500 SE STARK ST, SUITE 102
GRESHAM, OR 97030
Naturopath
25500 SE STARK ST
GRESHAM, OR 97030
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
25500 SE STARK ST, SUITE 101
GRESHAM, OR 97030
Counselor (Mental Health)
25500 SE STARK ST, #202
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, GRESHAM
GRESHAM, OR 97030
Naturopath
25500 SE STARK ST, ST 202
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467413179, enumerated as an "organization" on March 31, 2006.

The provider is located at 25500 SE STARK ST SUITE 103 GRESHAM, OR 97030 and the phone number is (503) 328-0222.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.