| Point Fosdick Physical Therapy, Inc Ps | |
|
4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 | |
| (253) 851-5718 | |
| (253) 853-6922 |
| Full Name | Point Fosdick Physical Therapy, Inc Ps |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 4700 Point Fosdick Drive Nw, Gig Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609802230 | NPI | - | NPPES |
| 7095854 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00002125 (Washington) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 601283625 (Washington) | Primary |
| Provider Name | Micah O Tamminga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982630638 PECOS PAC ID: 2264464940 Enrollment ID: I20050901000675 |
| Provider Name | Emily C Fortner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396908307 PECOS PAC ID: 0345314084 Enrollment ID: I20080730000111 |
| Provider Name | Darrin Moy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417584319 PECOS PAC ID: 0648698712 Enrollment ID: I20200922002316 |
| Provider Name | Amber L Scouller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003428012 PECOS PAC ID: 2365862232 Enrollment ID: I20201014001323 |
| Provider Name | Danielle Annelee Nohelty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992423966 PECOS PAC ID: 7315323961 Enrollment ID: I20221005000259 |
| Provider Name | Anna M Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487431391 PECOS PAC ID: 0648625145 Enrollment ID: I20231018000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Point Fosdick Physical Therapy, Inc Ps 4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 Ph: (253) 851-5718 | Point Fosdick Physical Therapy, Inc Ps 4700 Point Fosdick Drive Nw, Suite 213, Gig Harbor, WA 98335 Ph: (253) 851-5718 |