IndividualActive
Shannon Mckenzie, PTA
NPI 1861814360 · Physical Therapy Assistant · Portland, OR
Provider details
- NPI number
- 1861814360
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 08941 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1300 Ne 16th Ave
Portland, OR 97232
Phone: (503) 288-6671
Street-level locationGet directions
Mailing address
4560 Se International Way
Milwaukie, OR 97222
Registry dates
- Enumerated
- 2014-01-17
- Last updated
- 2014-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.