IndividualActive
Tyler Shupe, DPT
NPI 1356696660 · Physical Therapist · Creswell, OR
Provider details
- NPI number
- 1356696660
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 62736 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
170 Melton Rd
Creswell, OR 97426
Phone: (541) 895-2152
Fax: (541) 895-2215
Street-level locationGet directions
Mailing address
16083 Sw Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Additional practice locations (1)
- 7525 E Broadway Rd Ste 6Mesa, AZ 85208-1156Phone: (480) 354-2911
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2018-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.