PROLIANCE SURGEONS INC., P.S. (NPI# 1417990888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417990888 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS INC., P.S. |
| Other Organization Name | STAR SPORTS THERAPY AND ATHLETIC REHABILITATION |
| Practice Address |
8009 S 180th St Suite 112 Kent WA 98032-1042 |
| Mailing Address |
720 Olive Way Suite 1505 Seattle WA 98101-1878 |
| Practice Telephone | 4252267827 |
| Practice Fax Number | 4252515757 |
| Mailing Telephone | 2068382590 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROLIANCE SURGEONS INC., P.S. |
| 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 |
|---|---|
| STAR Sports Therapy and Athletic Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134165897 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 12911 120th Ave Ne Ste H220, Kirkland, WA 98034-3064 | 2006-06-21 |
| 1467085126 | Proliance Surgeons Inc., P.s. | Physical Therapist | 190 W Dayton St Ste 202, Edmonds, WA 98020-7221 | 2020-02-20 |
| 1083752042 | Proliance Surgeons Inc., P.s. | Occupational Therapist | 510 8th Ave Ne, Suite 340, Issaquah, WA 98029-5436 | 2007-02-02 |
| 1508893066 | Proliance Surgeons Inc., P.s. | Orthopaedic Surgery | 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 | 2006-06-28 |
| 1073540894 | Proliance Surgeons Inc., P.s. | Surgery | 7315 212th St Sw, Suite 201, Edmonds, WA 98026-7610 | 2006-06-27 |
| 1386687747 | Proliance Surgeons Inc., P.s. | Pain Medicine | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2006-06-14 |
| 1699718973 | Proliance Surgeons Inc., P.s. | Surgery | 1412 Sw 43rd St, Suite 201, Renton, WA 98055-4801 | 2006-06-14 |
| 1417990797 | Proliance Surgeons Inc., P.s. | Internal Medicine | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-06-14 |
| 1821031113 | Proliance Surgeons Inc., P.s. | Surgery | 16122 8th Ave Sw, D-1, Burien, WA 98166-2967 | 2006-06-14 |
| 1134169931 | Proliance Surgeons Inc., P.s. | Surgery | 1600 E Jefferson St, Suite 101, Seattle, WA 98122-5698 | 2006-06-08 |
| Street Address |
8009 S 180TH ST SUITE 112 |
| City | KENT |
| State | WA |
| Zip Code | 98032-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902845910 | Dawn M. Dunn | Physical Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-06-05 |
| 1730613084 | Sarah Steckel | Occupational Therapist | 8009 S 180th St, 112, Kent, WA 98032-1042 | 2017-04-13 |
| 1295134047 | Anzhelika Buts | Massage Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2014-08-18 |
| 1497043699 | Christine Louie Mattson | Physical Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2011-07-21 |
| 1548497654 | Brett D Neilson | Physical Therapist | 8009 S 180th St, Ste 112, Kent, WA 98032-1042 | 2009-06-16 |
| 1144416249 | Shirliey Fung | Acupuncturist | 8009 S 180th St, #104, Kent, WA 98032-1042 | 2007-09-21 |
| 1750470670 | Marianne Trevorrow | Naturopath | 8009 S 180th St, Suite 104, Kent, WA 98032-1042 | 2006-10-11 |
| 1619986015 | Sue A. Horton | Physical Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-08-05 |
| 1972512267 | Daniel A Neil | Physical Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-08-05 |
| 1588600274 | Michelle M.f. Mcmullen | Occupational Therapist | 8009 S 180th St, Suite 112, Kent, WA 98032-1042 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| 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 |
|---|---|---|---|---|
| 1376060186 | Jacob Nathaniel Hoffman | Physical Therapist | 13106 Se 240th St Ste 103, Kent, WA 98031-9211 | 2017-08-23 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1710339122 | Matthew Esteve | Physical Therapist | 22415 68th Ave S, Kent, WA 98032-2444 | 2016-07-09 |
| 1023483872 | Sarah E Bartholomew | Physical Therapist | 25012 104th Ave Se Ste C, Kent, WA 98030-2821 | 2015-12-04 |
| 1760823124 | Daisy Jo Fish | Physical Therapist | 13215 Se 240th St Ste D, Kent, WA 98042-5120 | 2013-07-15 |
| 1811147705 | Chad Frank | Physical Therapist | 494 S Marigold Ln, Kent, OH 44240-5307 | 2008-09-26 |
| 1760639538 | Jody Marie Schmucker | Physical Therapist | 4708 Gate Post Ln, Kent, OH 44240-5609 | 2008-08-25 |
| 1033378625 | Rodney Copes | Physical Therapist | 621 Van De Vanter Ave, Kent, WA 98030-6209 | 2008-06-09 |
| 1447424296 | Gina L. Miller | Physical Therapist | 878 Admore Dr., Kent, OH 44240 | 2008-04-14 |
| 1487841268 | Danielle Kate Jolliff | Physical Therapist | 307 W. Main St., Kent, OH 44240 | 2007-09-26 |
| Find all providers in KENT | ||||
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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.