OrganizationActive
Cannon Beach Spa Inc
NPI 1134383920 · Physical Therapy Clinic/Center · Cannon Beach, OR
Provider details
- NPI number
- 1134383920
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Krupa, Owner(503) 436-8772
- License
- 1458 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 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
232 N Spruce St
Cannon Beach, OR 97110
Phone: (503) 436-8772
Street-level locationGet directions
Mailing address
Po Box 953
Cannon Beach, OR 97110-0953
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2008-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.