Eric Roth (NPI# 1427060623, PAC ID# 4587606561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1427060623 |
| PAC ID by PECOS | 4587606561 |
| Professional Enrollment ID | I20050531001037 |
| Full Name | Eric Roth |
| Organization Legal Name | KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INC. |
| Address |
26001 Barber Cut Off Rd Suite 1 Kingston WA 98346-9401 |
| Phone Number | 3602977050 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6507762333 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 | 3602977050 | KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INC. |
| 19319 7th Ne Ave, Poulsbo, WA 98370-7442 | 3607793777 | KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INC. |
| Organization Legal Name | KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INC. |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Duquette | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 |
| Laura Lynn Kettel | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 |
| Jennifer L Edwards | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 2400 Nw Myhre Rd, Suite 102, Silverdale, WA 98383-7672 |
| Haley Van Ens | Occupational Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 19319 7th Ne Ave, Poulsbo, WA 98370-7442 |
| Dana M Jackson | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 2500 Cherry Ave, Bremerton, WA 98310-4202 |
| Jeffrey Day | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 911 Hildebrand Ln, Suite 101, Bainbridge Is, WA 98110-2825 |
| Ronald K Mimaki | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 19319 7th Ne Ave, Poulsbo, WA 98370-7442 |
| Brandon Escobar | Occupational Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 20730 Bond Rd Ne, Suite 106, Poulsbo, WA 98370-9000 |
| Thayne Bosh | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 20730 Bond Rd Ne, Suite 106, Poulsbo, WA 98370-9000 |
| Sharon Stanley | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 2500 Cherry Ave, Bremerton, WA 98310-4202 |
| Street Address |
26001 BARBER CUT OFF RD SUITE 1 |
| City | KINGSTON |
| State | WA |
| Zip | 98346-9401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lynn Kettel | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 |
| Robert B Sprague | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 |
| Elias Cook | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 |
| Richard P Mcdowell | Physical Therapy | Kitsap Physical Therapy and Sports Clinics Ps Inc. | 26001 Barber Cut Off Rd, Suite 1, Kingston, WA 98346-9401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Lamar | Chiropractic | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | |
| Sahibjit S Gill | Chiropractic | Kingston Crossing Wellness Ps | 8202 Ne State Hwy 104, Suite 105, Kingston, WA 98346-9454 |
| Robin L Benn | Nurse Practitioner | Kingston Crossing Wellness Ps | 8202 Ne State Hwy 104, Suite 105, Kingston, WA 98346-9454 |
| Adam J Banker | Chiropractic | Kingston Crossing Wellness Ps | 8202 Ne State Hwy 104, Suite 105, Kingston, WA 98346-9454 |
| Inara S Mcewen | Nurse Practitioner | Kingston Crossing Wellness Ps | 8202 Ne State Hwy 104, Suite 105, Kingston, WA 98346-9454 |
| Callen James Blackbird | Chiropractic | Kingston Crossing Wellness Ps | 8202 Ne State Hwy 104, Kingston, WA 98346-9454 |
| Luke B Mcdaniel | Family Medicine | Port Gamble S'klallam Tribe | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 |
| Scott W Lindquist | Pediatric Medicine | Port Gamble S'klallam Tribe | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 |
| Laura A Ryan | Physician Assistant | Port Gamble S'klallam Tribe | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 |
| City | KINGSTON |
| Zip Code | 98346 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KINGSTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.