IndividualActive
Amanda Keegan, MPT
NPI 1245446103 · Physical Therapist · Portland, OR
Provider details
- NPI number
- 1245446103
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5018 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 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
12616 Se Stark St Bldg L
Portland, OR 97233-1058
Phone: (360) 480-5859
Fax: (503) 408-0791
Street-level locationGet directions
Mailing address
12616 Se Stark St Bldg L
Portland, OR 97233-1058
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2013-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.