Active NPI
Evan Joseph Price, DPT
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64396 | Other | OR | PHYSICAL THERAPY |
| PT60762632 | Other | WA | PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Proactive LLC | Physical Therapist | Current | Accepting new patients |
| Crux Physio LLC | Physical Therapist | Past | Accepting new patients |
| Funkxn LLC | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1023998176
-
dba ProActive Physical Therapy
- Physical Therapy Clinic/Center
- Oregon City, OR
- NPI 1396273199
Physical Therapist, WA
-
- Sports Physical Therapist
- Portland, OR
- NPI 1457169823
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.