1881834448 NPI number — SPORTSMED PHYSICAL THERAPY, INC., P.S.

Table of content: (NPI 1881834448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881834448 NPI number — SPORTSMED PHYSICAL THERAPY, INC., P.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPORTSMED PHYSICAL THERAPY, INC., P.S.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881834448
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 11009
Provider Second Line Business Mailing Address:
CASCADE BILLING
Provider Business Mailing Address City Name:
OLYMPIA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98508-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-352-2037
Provider Business Mailing Address Fax Number:
360-352-0637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
463 TREMONT STREET W.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
PORT ORCHARD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98366-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-895-1160
Provider Business Practice Location Address Fax Number:
360-895-1161
Provider Enumeration Date:
02/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KERSHAW
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
BLAKE
Authorized Official Title or Position:
OWNER / PHYSICAL THERAPIST
Authorized Official Telephone Number:
801-455-7329

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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