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

Sean William Larue

Individual provider Physical Therapist · NPI 1649915570

Sean William Larue is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4876 NW Bethany Blvd Ste L1
Portland, OR 97229-9259
Phone: (503) 443-6156
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1649915570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland