Active NPI
Emily Nicole Vavrosky, DPT
- Physical Therapist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61955
- Practice address
- 283 NE 223Rd Ave
Gresham, OR 97030-8407 - Phone
- (503) 912-1192
- NPI assigned
- Sep 22, 2016
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP035076T | WA | |
| Physical Therapist | 225100000X | 61955 | OR | Primary |
| Physical Therapist | 225100000X | PT.PT.61615153-CP | WA |
Addresses
Primary practice location
283 NE 223Rd Ave
Gresham, OR 97030-8407
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389
Other practice location 1
1905 SE 192nd Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440
Other practice location 2
8100 SW Nyberg St
Suite 130
Tualatin, OR 97062-8438
Phone (503) 885-8677
Other practice location 3
1505 NE 40th Ave Ste C
Portland, OR 97232-1861
Phone (503) 210-1425
Other practice location 4
308 N Ivy St
Canby, OR 97013-3704
Phone (503) 263-6786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 NE 40TH Ave
Suite C
Portland, OR 97232-1861
Phone (503) 210-1425
283 NE 223Rd Ave
Gresham, OR 97030-8407
Phone (503) 912-1192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61955 | OR | MD | Physical Therapist |
| CP035076T | WA | MD | Physical Therapist |
| PT.PT.61615153-CP | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Proactive LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Omnis Omnia Inc. | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
308 N Ivy St
Canby, OR 97013
Phone (503) 263-6786
1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041
1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174
440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826
3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252
3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419
1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047
450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410
365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111
19767 SW 72nd Ave
Ste 105
Tualatin, OR 97062
Phone (503) 454-0526
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Grants Pass, OR
- NPI 1801257191
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Camas, WA
- NPI 1588916894
OR
-
dba ProActive Physical Therapy
- Physical Therapy Clinic/Center
- Oregon City, OR
- NPI 1396273199
Physical Therapist
-
dba Northwest Sports Physical Therapy
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
-
- Physical Therapist
- Roseburg, OR
- NPI 1427524388
-
- Physical Therapist
- Pacific City, OR
- NPI 1194231159
-
dba Peak Performance Physical Therapy
- Orthopedic Physical Therapist
- Redmond, OR
- NPI 1013949239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1144779943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-702-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 NE 223RD AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308407",
"telephone_number": "503-912-1192"
}
],
"practiceLocations": [
{
"address_1": "1905 SE 192nd Ave Ste 109",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986077415",
"country_code": "US",
"telephone_number": "360-210-5440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8100 SW Nyberg St",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Tualatin",
"state": "OR",
"postal_code": "970628438",
"country_code": "US",
"telephone_number": "503-885-8677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 NE 40th Ave Ste C",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972321861",
"country_code": "US",
"telephone_number": "503-210-1425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 N Ivy St",
"address_purpose": "LOCATION",
"city": "Canby",
"state": "OR",
"postal_code": "970133704",
"country_code": "US",
"telephone_number": "503-263-6786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAVROSKY",
"first_name": "EMILY",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "CP035076T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61955",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.PT.61615153-CP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.