OrganizationActive
Dna Physical Therapy and Athletic Club, LLC
NPI 1710403340 · Physical Therapist · Beaverton, OR
Provider details
- NPI number
- 1710403340
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Bulat, Co-Owner(503) 308-2814
- License
- 06049 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
12305 Sw Horizon Blvd Ste 201
Beaverton, OR 97007-9500
Phone: (971) 708-6113
Fax: (971) 708-6988
Street-level locationGet directions
Mailing address
128 Nicholas Way
Newberg, OR 97132-2354
Other names (DBA / former)
- Doing business as
- Dna Physical Therapy & Athletics
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2017-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.