OrganizationActive
Elite Performance Physical Therapy, LLC
NPI 1225412927 · Physical Therapy Clinic/Center · Beavercreek, OR
Provider details
- NPI number
- 1225412927
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessie Roberts, Owner(503) 708-6941
- License
- 04620 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
22695 S Upper Highland Rd
Beavercreek, OR 97004-9732
Phone: (503) 708-6941
Street-level locationGet directions
Mailing address
19146 S Molalla Ave Ste a
Oregon City, OR 97045-7167
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.