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
- 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 17 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.
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 |
|---|---|---|---|
| R114778 | MEDICARE PIN (08) | OR | |
| R134327 | MEDICARE PIN (08) | OR | |
| R114779 | MEDICARE PIN (08) | OR |
Reviews for PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 4 | 1 | 3 | 1 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 1 | 6 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 1 + 6 + 1 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1467413179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508822909 | MR. CHRISTOPHER GEORGE TUTT MPT Individual | Physical Therapist | 25500 SE STARK ST SUITE 103 GRESHAM, OR 97030 (503) 328-0222 |
| 1477519874 | MR. GLEN RAYMOND AKERS PT Individual | Physical Therapist | 25500 SE STARK ST SUITE 103 GRESHAM, OR 97030 (503) 328-0222 |
| 1902964729 | ELIZABETH DELPLATO D.C. Individual | Chiropractor | 25500 SE STARK ST SUITE 201B GRESHAM, OR 97030 (503) 667-9491 |
| 1659746097 | DELIA SEWELL N.D. Individual | Naturopath | 25500 SE STARK ST SUITE 102 GRESHAM, OR 97030 (503) 492-1327 |
| 1003135088 | ERIKA SIGRIST ND Individual | Naturopath | 25500 SE STARK ST GRESHAM, OR 97030 (503) 492-1327 |
| 1164979191 | STONEYBROOKE RESIDENTIAL SERVICES, LLC Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 25500 SE STARK ST SUITE 101 GRESHAM, OR 97030 (503) 669-7191 |
| 1578613790 | LAURA M MAATTA MA QMHP LPC Individual | Counselor (Mental Health) | 25500 SE STARK ST #202 GRESHAM, OR 97030 (503) 516-1825 |
| 1265840466 | KAREN E BARTLING PT Individual | Physical Therapist | 25500 SE STARK ST SUITE 103 GRESHAM, OR 97030 (503) 328-0222 |
| 1205068947 | ALISSA A CAMERON PT Individual | Physical Therapist | 25500 SE STARK ST GRESHAM GRESHAM, OR 97030 (503) 328-0222 |
| 1447893748 | MARIYA SULAKOV ND Individual | Naturopath | 25500 SE STARK ST ST 202 GRESHAM, OR 97030 (503) 489-5917 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467413179, enumerated in the NPI registry 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
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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