Proactive Orthopedic and Sports Physical Therapy of Gresham LLC
NPI 1467413179ActiveOrganization· Clinic/Center, Physical Therapy· Gresham, OR
Clinic/Center, Physical Therapy in Gresham, Oregon, registered in NPPES in March 2006. The authorized official on file is Larry Dean Krout, Managing Member.
Overview
| NPI | 1467413179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2006 |
| Last updated in NPPES | Jul 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | 20573 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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