BOOMERANG PHYSICAL THERAPY (NPI# 1659745230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659745230 |
| Entity Type | Organization |
| Organization Name | BOOMERANG PHYSICAL THERAPY |
| Practice Address |
18414 Ne Garden Dr Vancouver WA 98682-3612 |
| Practice Telephone | 5038100837 |
| Mailing Telephone | 5038100837 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | DR. JENNIFER JEANNE FLENTKE (DIRECTOR OF CLINICAL) |
| Authorized Official Telephone | 5038100837 |
| Authorized Official Credential | PT, MPH, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT00009414 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE NPI NUMBER | 1992083927 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BOOMERANG PHYSICAL THERAPY, PLLC | 210 W. 4th Street, Vancouver, WA 98660 |
| Street Address |
18414 NE GARDEN DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-3612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992083927 | Jennifer Jeanne Flentke | Physical Therapist | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2011-07-25 |
| 1285160952 | Kate E Manuse | Physical Therapist | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2017-05-02 |
| 1902179484 | Function At Home Dba The Body Mechanix | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192231 | Stargait Physical Therapy | Clinic/Center | 6305 Ne 47th St, Vancouver, WA 98661 | 2015-04-24 |
| 1053326561 | Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC | Clinic/Center | 6700 Ne 162nd Ave, Suite 411, Vancouver, WA 98682-3858 | 2006-07-31 |
| 1003319088 | Alpine Physical Therapy Pllc | Clinic/Center | 109 Se 101st Ave, Vancouver, WA 98664-3907 | 2018-03-15 |
| 1164963898 | Pinnacle Women's Therapeutics | Clinic/Center | 300 E 24th St, Vancouver, WA 98663-3214 | 2017-03-14 |
| 1902179484 | Function At Home Dba The Body Mechanix | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2012-02-15 |
| 1154647329 | Proactive Physical Therapy -salmon Creek | Clinic/Center | 2621 Ne 134th St, Suite 310, Vancouver, WA 98686-3036 | 2010-04-13 |
| 1104080373 | Everybody Physical Therapy LLC | Clinic/Center | 1306 Main St, Vancouver, WA 98660-2919 | 2008-07-16 |
| 1770743023 | Pt Elite, Inc. | Clinic/Center | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2008-06-11 |
| 1710172291 | Joint Ventures Therapeutics PC | Clinic/Center | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2007-09-07 |
| 1487854618 | Vancouver Ent & Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave, Ste 101, Vancouver, WA 98686-6431 | 2007-07-25 |
| Find all providers in VANCOUVER | ||||
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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.