New Proactive LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEW PROACTIVE LLC

Doing business as

ProActive Physical Therapy

Practice address

1630 Beavercreek Rd Ste a
Oregon City, OR 97045-4156

Phone

(503) 607-0047

Fax

(503) 607-0051

NPI assigned

May 24, 2017

Last updated

Jul 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Tutt, PTNPI 1508822909

Title

Owner

Phone

(503) 381-1150

Specialties & licenses 2

Addresses

Other names 1

• ProActive Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Locations

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan Akers

  • Physical Therapist
  • Canby, OR
  • NPI 1942015466
  Medicare reassignment Care Compare group NPD
• Glen Raymond Akers, PT

  • Physical Therapist
  • Gresham, OR
  • NPI 1477519874
  Medicare reassignment Care Compare group NPD
• Zubaidah Alrubaye

  • Physical Therapist
  • Tualatin, OR
  • NPI 1346125580
  Medicare reassignment Care Compare group NPD
• Megan Anderson

  • Physical Therapist
  • Redmond, OR
  • NPI 1194604140
  Medicare reassignment Care Compare group NPD
• Sean L Bennett, DPT

  • Physical Therapist
  • Canby, OR
  • NPI 1861066219
  Medicare reassignment Care Compare group NPD
• Tyler Marc Bohnet, MPT

  • Physical Therapist
  • Canby, OR
  • NPI 1184603821
  Medicare reassignment Care Compare group NPD
• Nicholas Bronson

  • Physical Therapist
  • Portland, OR
  • NPI 1053281022
  Medicare reassignment Care Compare group NPD
• Tana Eri

  • Physical Therapist
  • Redmond, OR
  • NPI 1316822547
  Medicare reassignment Care Compare group NPD
• Josh Hansen, DPT

  • Physical Therapist
  • Estacada, OR
  • NPI 1427606144
  Medicare reassignment Care Compare group NPD
• Taylor Hefty, DPT

  • Physical Therapist
  • Tualatin, OR
  • NPI 1750154555
  Medicare reassignment Care Compare group NPD
• Ryan Herold, DPT, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1457072118
  Medicare reassignment Care Compare group NPD
• Colton Hubler, DPT

  • Physical Therapist
  • Fairview, OR
  • NPI 1538605845
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1396273199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 NE VILLAGE ST",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243827",
            "telephone_number": "503-489-1174",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BEAVERCREEK RD STE A",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454156",
            "telephone_number": "503-607-0047",
            "fax_number": "503-607-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROACTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "TUTT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-381-1150",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProActive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah V Neuner
• Neurotherapeutic Pediatric Therapies Inc
• Neurotherapeutics Inc
• Tamar Nevo, OTRL
• New Beginnings Counseling Services LLC
• Bruce L Nguyen, DMD
• Hanh Ngoc Nguyen
• Huy Manh Nguyen
• Huy Quang Nguyen, RPH
• Kendra Elise Nguyen, MD

• Physical Therapy Clinic/Center in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.