Stout Performance and Physical Therapy LLC
NPI 1790593739 · Sports Physical Therapist · Portland, OR
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stout Performance and Physical Therapy LLC is a Sports Physical Therapist organization in Portland, OR (NPI 1790593739).
Provider details
- NPI number
- 1790593739
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jake Stout, Owner/Provider(503) 949-1727
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2024-12-23
- Certified
- 2024-12-22
Frequently asked questions
- What is Stout Performance and Physical Therapy LLC's NPI number?
- Stout Performance and Physical Therapy LLC's National Provider Identifier (NPI) is 1790593739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stout Performance and Physical Therapy LLC?
- Stout Performance and Physical Therapy LLC is classified in the NPPES registry as Sports Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stout Performance and Physical Therapy LLC located?
- Stout Performance and Physical Therapy LLC's practice location on file with NPPES is 710 Ne Holladay St # 150, Portland, OR 97232-2168.
- What is Stout Performance and Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Stout Performance and Physical Therapy LLC is (503) 542-2744.
- Does Stout Performance and Physical Therapy LLC accept Medicare?
- Stout Performance and Physical Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stout Performance and Physical Therapy LLC?
- The authorized official listed on Stout Performance and Physical Therapy LLC's NPPES record is Jake Stout, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stout Performance and Physical Therapy LLC's NPI active?
- Yes — Stout Performance and Physical Therapy LLC's NPI (1790593739) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.