OrganizationActive
Active Life Physical Therapy Center Inc
NPI 1962565291 · Physical Therapy Clinic/Center · Brookings, OR
Provider details
- NPI number
- 1962565291
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Dodgen, Physical Therapist(541) 412-3717
- License
- 3572 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
616 Hemlock Street
A
Brookings, OR 97415-9412
Phone: (541) 412-1155
Street-level locationGet directions
Mailing address
Po Box 1628
Brookings, OR 97415-0039
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.