OrganizationActive
Advance Sports & Spine Therapy LLC
NPI 1669405767 · Physical Therapist · Wilsonville, OR
Provider details
- NPI number
- 1669405767
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Noel Tenoso, Owner(503) 723-0347
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 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
25030 Parkway Ave
#101
Wilsonville, OR 97070
Phone: (503) 723-0347
Fax: (503) 655-9305
Street-level locationGet directions
Mailing address
1554 Garden St Ste 103
West Linn, OR 97068-3278
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.