OrganizationActive
Lifestyles Physical Therapy, PC
NPI 1013156603 · Physical Therapy Clinic/Center · Portland, OR
Provider details
- NPI number
- 1013156603
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Campbell, President(503) 235-3386
- License
- 1369712-7 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4445 Sw Barbur Blvd.
Suite 204
Portland, OR 97239
Phone: (503) 235-3386
Fax: (503) 239-1694
Street-level locationGet directions
Mailing address
4445 Sw Barbur Blvd.
Portland, OR 97239
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.