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

Active since March 31, 2006
25500 SE STARK ST, SUITE 103, GRESHAM, OR 97030(503) 328-0222(503) 328-0223 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proactive Orthopedic And Sports Physical Therapy Of Gresham Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC (NPI 1467413179) is a healthcare organization registered as a physical therapy in Gresham, Oregon and active in the NPI registry since March 2006. The organization lists Larry Dean Krout, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1467413179
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC
Location Address25500 SE STARK ST, SUITE 103Gresham, OR 97030-3331
Mailing AddressPo Box 52194, Dept Code 961Phoenix, AZ 85072-2194 · (503) 489-1781 · Fax (503) 489-1650
Fax(503) 328-0223
Organization SubpartNo
Authorized OfficialLarry Dean KroutManaging Member · (503) 740-8847
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 25, 2008
NPI 1467413179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in OR · 20573
Definition

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.

25500 SE STARK ST, Gresham, OR 97030

Other Identifiers 3

Medicare PINR114778OR
Medicare PINR134327OR
Medicare PINR114779OR

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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
Physical Therapist
25500 SE STARK ST, GRESHAM
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Naturopath
25500 SE STARK ST, ST 202
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Physical Therapist
25500 SE STARK ST, SUITE 103
GRESHAM, OR 97030
Counselor (Mental Health)
25500 SE STARK ST, #202
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC's NPI number?

The NPI number for Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC is 1467413179. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC located?

Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC is located at 25500 SE Stark St Suite 103, Gresham, OR 97030. The listed phone number is (503) 328-0222.

What is Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Proactive Orthopedic And Sports Physical Therapy Of Gresham LLC was last updated on July 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.