OrganizationActive
Umpqua Valley Physical Therapy LLC
NPI 1790746402 · Physical Therapy Clinic/Center · Myrtle Creek, OR
Provider details
- NPI number
- 1790746402
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Krout, Managing Member(503) 740-8847
- License
- B0093 (OR)
Specialties & taxonomies
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
20 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
213 Nw Second Ave
Myrtle Creek, OR 97457
Phone: (541) 863-8401
Fax: (541) 863-8403
Street-level locationGet directions
Mailing address
Po Box 3287
Portland, OR 97208-3287
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2008-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.