OrganizationActive
Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC
NPI 1053326561 · Physical Therapy Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1053326561
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Krout, Managing Member(503) 740-8847
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6700 Ne 162nd Ave
Suite 411
Vancouver, WA 98682-3858
Phone: (360) 567-0633
Fax: (360) 567-0635
Street-level locationGet directions
Mailing address
Po Box 52194
Phoenix, AZ 85072-2194
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2008-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.