OrganizationActive
Canby Physical Therapy and Sports Medicine, LLC
NPI 1992766612 · Physical Therapy Clinic/Center · Canby, OR
Provider details
- NPI number
- 1992766612
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Kraut, Managing Member(503) 740-8847
- License
- 3131 (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
308 N Ivy St
Canby, OR 97013-3704
Phone: (503) 263-6786
Fax: (503) 263-6451
Street-level locationGet directions
Mailing address
Po Box 52194
Phoenix, AZ 85072-2194
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2009-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.