Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Orthopedic and Sports Physical Therapy of Vancouver, LLC

Organization Physical Therapy Clinic/Center · NPI 1235190950

Proactive Orthopedic and Sports Physical Therapy of Vancouver, LLC is a Physical Therapy Clinic/Center in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

805 Broadway St
Vancouver, WA 98660-3213
Phone: (360) 823-0138
Fax: (360) 823-0141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 602338111 (WA)

Record details

NPI number1235190950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Kraut — Managing Member · (503) 740-8847
NPI enumeratedMarch 31, 2006
Last updated in NPPESJuly 25, 2008
Mailing addressPo Box 52194, Dept Code 963, Phoenix, AZ 85072-2194

Other providers in Vancouver