Individual provider Active NPI

Ethan Ray Canlas Dado, DPT

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1750059218
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5262 NE Brookwood Pkwy
Hillsboro, OR 97124-5345
Phone
(503) 395-3000
Fax
(503) 336-0464
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305997 CA
Physical Therapist 225100000X OR Primary

Addresses

Primary practice location

5262 NE Brookwood Pkwy
Hillsboro, OR 97124-5345

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

564 NE Highway 99W
McMinnville, OR 97128-2707
Phone (503) 472-0096

Other practice location 2

1331 Medical Center Dr Ste A
Rohnert Park, CA 94928-2900
Phone (707) 584-3433

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220210000488 IL Practitioner - Physical Therapist in Private Practice 7810380052
I20231205001095 OR Practitioner - Physical Therapist in Private Practice 7810380052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
75.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

5262 NE Brookwood Pkwy
Hillsboro, OR 97124
Phone (503) 395-3000

564 NE Highway 99W
McMinnville, OR 97128
Phone (503) 472-0096

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

Organizations & group practices 1

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1750059218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 NE BROOKWOOD PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245345",
            "telephone_number": "503-395-3000",
            "fax_number": "503-336-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 NE Highway 99W",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971282707",
            "country_code": "US",
            "telephone_number": "503-472-0096",
            "fax_number": "503-472-0097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 Medical Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282900",
            "country_code": "US",
            "telephone_number": "707-584-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADO",
        "first_name": "ETHAN RAY",
        "middle_name": "CANLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305997",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.