OrganizationActive
Pacific Neuro Therapy
NPI 1316394083 · Physical Therapist · Tigard, OR
Provider details
- NPI number
- 1316394083
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kellen Mastrud, Co-Owner & President(971) 294-2669
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 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
11105 Sw Greenburg Rd
Tigard, OR 97223-5446
Phone: (971) 294-2669
Fax: (503) 746-6609
Street-level locationGet directions
Mailing address
11105 Sw Greenburg Rd
Tigard, OR 97223-5446
Other names (DBA / former)
- Doing business as
- Apex Performance Wellness & Rehab
Registry dates
- Enumerated
- 2016-05-23
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.