PT ELITE, INC. (NPI# 1770743023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770743023 |
| Entity Type | Organization |
| Organization Name | PT ELITE, INC. |
| Practice Address |
222 Ne Park Plaza Dr Suite 120 Vancouver WA 98684-5895 |
| Practice Telephone | 3602538285 |
| Mailing Telephone | 3602538285 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | MICHELLE KATHRYN TONKINSON (DIRECTOR) |
| Authorized Official Telephone | 3602538285 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
7335 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON LABOR DEPT | 0236747 | 01 |
| OR | REGENCE BCBS | 508460000 | 01 |
| WA | 7142904 | 05 | |
| WA | REGENCE BCBS | O9I009 | 01 |
| Street Address |
222 NE PARK PLAZA DR SUITE 120 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1023152642 | John D Kojis | Chiropractor | 222 Ne Park Plaza Dr, Suite 114, Vancouver, WA 98684-5895 | 2007-02-16 |
| 1194823054 | Amit K Gosalia | Audiologist | 222 Ne Park Plaza Dr, #105, Vancouver, WA 98684 | 2006-09-21 |
| 1740297639 | Michelle Kathryn Tonkinson | Physical Therapist | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2006-08-02 |
| 1780604413 | Noel Guzman | Family Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-19 |
| 1306862834 | Katalin Wolford | Internal Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-07-15 |
| 1558397042 | Northwest Medical Associates,ps | Specialist | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-25 |
| 1982640710 | Alan V Jones | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-21 |
| 1497791230 | Stanley M Sugarman | Specialist | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5899 | 2006-06-21 |
| 1306882147 | Graham D Glass | Internal Medicine | 222 Ne Park Plaza Dr, Siute 100, Vancouver, WA 98684-5895 | 2006-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
| 1659745230 | Boomerang Physical Therapy | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2015-11-19 |
| 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 |
| 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 |
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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.