IndividualActive
Phoenix Greenman, LMT
NPI 1073744967 · Mechanotherapist · Portland, OR
Provider details
- NPI number
- 1073744967
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15823 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
3327 Se Hawthorne Blvd
Portland, OR 97214-5046
Phone: (503) 577-5512
Street-level locationGet directions
Mailing address
836 Ne 78th Ave
Portland, OR 97213-6957
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.