Individual provider Active NPI

Evan Joseph Price, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1265955371
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
710 NE Holladay St # 150
Portland, OR 97232-2168
Phone
(503) 542-2744
NPI assigned
Jul 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

710 NE Holladay St # 150
Portland, OR 97232-2168

Mailing address

705 W 25TH St
Vancouver, WA 98660-2456
Phone (937) 903-3469

Other identifiers 2

IdentifierTypeStateIssuer
64396OtherORPHYSICAL THERAPY
PT60762632OtherWAPHYSICAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170905003364 WA Practitioner - Physical Therapist in Private Practice 7810260320 Reassigns benefits to 1 organization
I20220615001202 OR Practitioner - Physical Therapist in Private Practice 7810260320 Reassigns benefits to 1 organization
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Funkxn LLCGroup PAC ID 7012487531, 2 clinicians

Practice addresses (Care Compare)

710 NE Holladay St
Suite 150
Portland, OR 97232-2168
Phone (503) 542-2744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
Crux Physio LLC Physical Therapist PastSince Dec 22, 2024 Accepting new patients
Funkxn LLC PastSince Sep 14, 2025 Accepting new patients

Locations

1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174

2621 NE 134th St
Ste 310
Vancouver, WA 98686
Phone (360) 859-3346

100 E 33rd St
Ste 206B
Vancouver, WA 98663
Phone (360) 823-0138

6700 NE 162nd Ave
Ste 411
Vancouver, WA 98682
Phone (360) 567-0633

100 E 33rd St
Ste 204
Vancouver, WA 98663
Phone (360) 823-0138

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1265955371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W 25TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602456",
            "telephone_number": "937-903-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NE HOLLADAY ST # 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322168",
            "telephone_number": "503-542-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "EVAN",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "64396",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT60762632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.

Verify at the official NPI Registry.