# STRATOS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evolve Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528404324
- **Authorized official:** MATTHEW WHITAKER MPT (OWNER)
- **Authorized official phone:** (541) 550-7291

## Contact information

- **Practice address:** 20510 SW ROY ROGERS RD STE 120, SHERWOOD, OR 97140-9320
- **Practice address phone:** (541) 550-7291
- **Practice address fax:** (541) 550-7356
- **Mailing address:** 20510 SW ROY ROGERS RD STE 120, SHERWOOD, OR 97140-9320
- **Mailing address phone:** (541) 550-7291
- **Mailing address fax:** (541) 550-7356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 61612 | OR | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 61612 | PT LICENSE | OR |