ELITE PERFORMANCE AND THERAPY (NPI# 1811357163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811357163 |
| Entity Type | Organization |
| Organization Name | ELITE PERFORMANCE AND THERAPY |
| Practice Address |
284 Central Way Kirkland WA 98033-6104 |
| Practice Telephone | 4256051288 |
| Practice Fax Number | 4256051288 |
| Mailing Telephone | 4256051288 |
| Mailing Fax Number | 4256051288 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Authorized Official Name | HEIDI LYN KODESKI (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2069996331 |
| Authorized Official Credential | M.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00008731 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ELITE PERFORMANCE AND THERAPY, PLLC | 284 Central Way, Kirkland, WA 98033 |
| Street Address |
284 CENTRAL WAY |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629137468 | Dana Ryan Mccracken | Chiropractor | 284 Central Way, Kirkland, WA 98033-6104 | 2006-12-07 |
| 1073980967 | Eileen Vincent | Massage Therapist | 284 Central Way, Kirkland, WA 98033-6104 | 2015-08-26 |
| 1619218450 | Jaffer Junaid Barlas | Chiropractor | 284 Central Way, Kirkland, WA 98033-6104 | 2013-03-04 |
| 1700180239 | Kirkland Spine and Wellness, P.s | Chiropractor | 284 Central Way, Kirkland, WA 98033-6104 | 2010-12-23 |
| 1356664502 | John Sterling Cassel | Massage Therapist | 284 Central Way, Kirkland, WA 98033-6104 | 2010-03-02 |
| 1982848982 | Mccracken Chiropractic & Wellness Center, PC | Chiropractor | 284 Central Way, Kirkland, WA 98033-6104 | 2009-04-22 |
| 1275725855 | Melinda L Garcia | Chiropractor | 284 Central Way, Kirkland, WA 98033-6104 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996856 | Eric James Ninomiya | Physical Therapist | 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7296 | 2017-07-28 |
| 1104278654 | Corissa Wennerlind | Physical Therapist | 11800 Ne 128th St, Ste 510, Kirkland, WA 98034-7208 | 2016-07-08 |
| 1164831855 | Maren Kludt | Physical Therapist | 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7296 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
| 1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
| 1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
| 1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
| 1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
| 1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
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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.