IndividualActive
Larry Stephens
NPI 1689024739 · Physical Therapy Assistant · Portland, OR
Provider details
- NPI number
- 1689024739
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 07858 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
9 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
17727 E Burnside St
Portland, OR 97233-4803
Phone: (503) 215-9820
Street-level locationGet directions
Mailing address
4531 Se Belmont St Ste 100
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2016-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.