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STOUT PERFORMANCE AND PHYSICAL THERAPY LLC
NPI 1790593739
Physical Therapist - Sports in Portland, OR

Active since December 23, 2024
710 NE HOLLADAY ST # 150, PORTLAND, OR 97232(503) 542-2744 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stout Performance And Physical Therapy Llc NPPES

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

STOUT PERFORMANCE AND PHYSICAL THERAPY LLC (NPI 1790593739) is a healthcare organization registered as a sports in Portland, Oregon and active in the NPI registry since December 2024. The organization lists Jake Stout, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1790593739
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameSTOUT PERFORMANCE AND PHYSICAL THERAPY LLC
Location Address710 NE HOLLADAY ST # 150Portland, OR 97232-2168
Mailing Address710 Ne Holladay St # 150Portland, OR 97232-2168
Phone(503) 542-2744
Organization SubpartNo
Authorized OfficialJake StoutOwner/provider · (503) 949-1727
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 22, 2024
✔ NPI 1790593739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
710 NE HOLLADAY ST # 150, Portland, OR 97232
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EVAN JOSEPH PRICE DPT
Physical Therapist
710 NE HOLLADAY ST # 150
PORTLAND, OR 97232
Multnomah County (503) 542-2744
WALSH PHYSICAL THERAPY
Physical Therapist (Sports)
710 NE HOLLADAY ST # 150
PORTLAND, OR 97232
Multnomah County (503) 542-2744

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 Stout Performance And Physical Therapy LLC's NPI number?

The NPI number for Stout Performance And Physical Therapy LLC is 1790593739. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Stout Performance And Physical Therapy LLC located?

Stout Performance And Physical Therapy LLC is located at 710 NE Holladay St # 150, Portland, OR 97232. The listed phone number is (503) 542-2744.

What is Stout Performance And Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Stout Performance And Physical Therapy LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.