PACIFIC PHYSICAL THERAPY PLLC (NPI# 1588098305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588098305 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHYSICAL THERAPY PLLC |
| Practice Address |
1950 Pottery Ave Ste 110 Port Orchard WA 98366-2501 |
| Practice Telephone | 3603297052 |
| Practice Fax Number | 3603297053 |
| Mailing Telephone | 3603297052 |
| Mailing Fax Number | 3603297053 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | BRETT DOUGLAS PALMER (MANAGING MEMBER) |
| Authorized Official Telephone | 3603297052 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT60392890 | WA | Ambulatory Health Care Facilities |
| Street Address |
1950 POTTERY AVE STE 110 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679908677 | Brett Douglas Palmer | Physical Therapist | 1950 Pottery Ave Ste 110, Port Orchard, WA 98366-2501 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720123508 | Sound Body Rehabilitation, Inc. | Clinic/Center | 4459 Se Mile Hill Dr, Port Orchard, WA 98366-3908 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912931 | Pt4all Pllc | Clinic/Center | 2130 N 114th St, Seattle, WA 98133-8507 | 2020-11-05 |
| 1811503691 | Art of Heaing Physical Therapy | Clinic/Center | 119 N Commercial St Ste 1100c, Bellingham, WA 98225-4496 | 2020-09-17 |
| 1023622388 | Blue Crane Physical Therapy LLC | Clinic/Center | 10209 123rd St Nw, Gig Harbor, WA 98329-6916 | 2020-09-03 |
| 1629682976 | Integrated Rehabilitation Group, PC | Clinic/Center | 35323 Se Douglas St Ste 210, Snoqualmie, WA 98065-9289 | 2020-09-03 |
| 1124632609 | Upward Physical Therapy and Wellness LLC | Clinic/Center | 4027 Leary Way Nw, Seattle, WA 98107-5045 | 2020-09-02 |
| 1356951123 | Lagniappe, Pllc | Clinic/Center | 7515 54th Ave Nw, Gig Harbor, WA 98335-7434 | 2020-08-05 |
| 1255949178 | Vantage Physical Therapy | Clinic/Center | 2710 S King St, Seattle, WA 98144-2446 | 2020-07-16 |
| 1407474893 | Truemotion Physical Therapy | Clinic/Center | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-07-11 |
| 1083239073 | Foundations Therafitness and Physical Therapy LLC | Clinic/Center | 1607 Cooper Point Rd Nw Ste B, Olympia, WA 98502-8325 | 2020-06-15 |
| 1902420821 | Real Time Physical Therapy | Clinic/Center | 3710 27th Pl W Apt 205, Seattle, WA 98199-2055 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
Please comment or provide details below to improve the information on PACIFIC PHYSICAL THERAPY PLLC.
| 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.