PROLIANCE SURGEONS, INC., P.S. (NPI# 1134166119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134166119 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE EASTSIDE PHYSICAL THERAPY |
| Practice Address |
12911 120th Ave Ne Suite H-220 Kirkland WA 98034-3027 |
| Mailing Address |
805 Madison St. Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4252167075 |
| Practice Fax Number | 4252167094 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 601484763 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Proliance Eastside Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1104474808 | Proliance Surgeons, Inc., P.s. | Durable Medical Equipment & Medical Supplies | 1231 116th Ave Ne Ste 755, Bellevue, WA 98004-3804 | 2019-08-27 |
| 1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
| 1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1255736971 | Proliance Surgeons, Inc., P.s. | Surgery | 1519 3rd St Se Ste 210, Puyallup, WA 98372-3742 | 2014-10-23 |
| 1467883116 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 1017 20th St, Anacortes, WA 98221-2505 | 2013-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Washington State Corporations | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Street Address |
12911 120TH AVE NE SUITE H-220 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125188 | Aileen Ann Mickey | Internal Medicine | 12911 120th Ave Ne, Evergreen Pulmonary Care Center, Suite G-105, Kirkland, WA 98034-3027 | 2005-09-26 |
| 1912459652 | Cascade Natural Medicine | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2016-10-28 |
| 1306396338 | Clark Anthony Laprelle II | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2016-10-14 |
| 1457726143 | Chapin Densmore,dds, Ps | Dentist | 12911 120th Ave Ne, Suite D 50, Kirkland, WA 98034-3027 | 2015-12-06 |
| 1316340706 | Krystal Plonski | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2014-09-30 |
| 1114334612 | Rx Digital Radiology, LLC | Radiology | 12911 120th Ave Ne, F-240, Kirkland, WA 98034-3027 | 2014-07-16 |
| 1417360124 | Chapin Densmore | Dentist | 12911 120th Ave Ne, Suite D50, Kirkland, WA 98034-3027 | 2014-06-10 |
| 1265776470 | Garrett D. Gray | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-11-12 |
| 1427300565 | Sarah Severance Goble | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-10-14 |
| 1205194982 | Integrated Rehab Group Limited Partnership | Occupational Therapist | 12911 120th Ave Ne, #f120, Kirkland, WA 98034-3027 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499480 | Kasey L Cottrill | Physical Therapist | 11901 Ne Village Plaza, Suite 261, Kirkland, WA 98034-5089 | 2020-08-24 |
| 1407465388 | First Step Pediatric Therapy | Physical Therapist | 1004 Kirkland Ave Apt 7, Kirkland, WA 98033-6351 | 2020-07-28 |
| 1730722216 | Janet Morton | Physical Therapist | 13315 68th Pl Ne, Kirkland, WA 98034-1650 | 2019-10-28 |
| 1144749607 | Katherine Efm Mcgee | Physical Therapist | 12040 Ne 128th St # Ms -56, Kirkland, WA 98034-3013 | 2017-09-15 |
| 1215461199 | Bridle Trails Physical Therapy and Athletic Training LLC | Physical Therapist | 13120 Ne 70th Pl Ste 203, Kirkland, WA 98033-8570 | 2017-04-17 |
| 1962863274 | Houghton Physical Therapy LLC | Physical Therapist | 6710 108th Ave Ne, Kirkland, WA 98033-7050 | 2016-03-14 |
| 1003272675 | Everett Physical Therapy and Sport Performance Center Pllc | Physical Therapist | 10600 Ne 68th St, Suite C, Kirkland, WA 98033-7044 | 2016-01-12 |
| 1568837227 | Emily Katz Jaeger | Physical Therapist | 13118 121st Way Ne Ste 201, Kirkland, WA 98034-3004 | 2015-12-07 |
| 1689041139 | Therapeutic Associates, Inc. | Physical Therapist | 6509 132nd Ave Ne, Kirkland, WA 98033-8628 | 2015-08-31 |
| 1245606136 | Christi Lee | Physical Therapist | 12911 120th Ave Ne Ste F120, Kirkland, WA 98034-3025 | 2015-08-14 |
| Find all providers in KIRKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.