OrganizationActive
Pivotal Physical Therapy, LLC
NPI 1063469773 · Physical Therapist · Sherwood, OR
Provider details
- NPI number
- 1063469773
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Justin Harle, Owner(503) 625-2217
- License
- 4428 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
20 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
15899 Sw Baler Way
Sherwood, OR 97140-8833
Phone: (503) 625-2217
Fax: (503) 925-1469
Street-level locationGet directions
Mailing address
15899 Sw Baler Way
Sherwood, OR 97140-8833
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.