OrganizationActive
Children'S Intensive Therapy
NPI 1982001194 · Physical Therapy Clinic/Center · Portland, OR
Provider details
- NPI number
- 1982001194
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Darren Brault, President/Clinic Owner(503) 895-1320
- License
- 60716 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
7203 Se Raymond St
Portland, OR 97206-4323
Phone: (503) 895-1320
Fax: (503) 296-2319
Street-level locationGet directions
Mailing address
7203 Se Raymond St
Portland, OR 97206-4323
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.