| Kitsap Physical Therapy And Sports Clinic Ps Inc | |
|
2400 Nw Myhre Rd Ste 101, Silverdale, WA 98383-7672 | |
| (360) 598-3764 | |
| (360) 598-3282 |
| Full Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2400 Nw Myhre Rd Ste 101, Silverdale, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912902347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alisha Breane Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588671739 PECOS PAC ID: 7113824640 Enrollment ID: I20031215000156 |
| Provider Name | Martha Devereaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306851753 PECOS PAC ID: 5698765725 Enrollment ID: I20040512001193 |
| Provider Name | Thayne Bosh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174609879 PECOS PAC ID: 0547232423 Enrollment ID: I20040811000281 |
| Provider Name | Jodi R Mcdowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548275084 PECOS PAC ID: 5890737829 Enrollment ID: I20050531000644 |
| Provider Name | David Damon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689680167 PECOS PAC ID: 0547202582 Enrollment ID: I20050531000725 |
| Provider Name | Jeffrey Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083620546 PECOS PAC ID: 6103868153 Enrollment ID: I20050531000792 |
| Provider Name | Robert B Sprague |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326050535 PECOS PAC ID: 9032151006 Enrollment ID: I20050531000948 |
| Provider Name | Dana M Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174530638 PECOS PAC ID: 5092757062 Enrollment ID: I20050531000984 |
| Provider Name | Richard P Mcdowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871509380 PECOS PAC ID: 4082656053 Enrollment ID: I20050531000989 |
| Provider Name | Sharon Stanley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194737304 PECOS PAC ID: 3870535842 Enrollment ID: I20050531001014 |
| Provider Name | Eric Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427060623 PECOS PAC ID: 4587606561 Enrollment ID: I20050531001037 |
| Provider Name | Scott J Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487660908 PECOS PAC ID: 2668406067 Enrollment ID: I20050926000062 |
| Provider Name | Suzanne T Brassel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598770141 PECOS PAC ID: 0840206447 Enrollment ID: I20060306000314 |
| Provider Name | Kirsten Ae Bakke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588762066 PECOS PAC ID: 0446259121 Enrollment ID: I20061206000272 |
| Provider Name | Steve A Whitaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558421370 PECOS PAC ID: 9335141910 Enrollment ID: I20070212000078 |
| Provider Name | Philip L Najera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942491378 PECOS PAC ID: 0547353195 Enrollment ID: I20070912000583 |
| Provider Name | John R Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811949654 PECOS PAC ID: 9739076597 Enrollment ID: I20090427000518 |
| Provider Name | Georgia L Norgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053400192 PECOS PAC ID: 9830188424 Enrollment ID: I20090904000431 |
| Provider Name | Nathan C Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467680710 PECOS PAC ID: 2769529478 Enrollment ID: I20091029000436 |
| Provider Name | Mary B Sommer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790797926 PECOS PAC ID: 0749479475 Enrollment ID: I20110112000430 |
| Provider Name | Elias Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346595972 PECOS PAC ID: 9133379191 Enrollment ID: I20121029000260 |
| Provider Name | Sarah Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891040143 PECOS PAC ID: 9830340561 Enrollment ID: I20121106000431 |
| Provider Name | Melissa L Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245582949 PECOS PAC ID: 1456504257 Enrollment ID: I20130103000090 |
| Provider Name | Kara Stadshaug |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306278106 PECOS PAC ID: 8022252865 Enrollment ID: I20130918000467 |
| Provider Name | Jonathan Dyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952707911 PECOS PAC ID: 1850615881 Enrollment ID: I20150123000016 |
| Provider Name | Hayley Siegenthaler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851793426 PECOS PAC ID: 6002131976 Enrollment ID: I20150217001921 |
| Provider Name | Diana T Marquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376855015 PECOS PAC ID: 2365567583 Enrollment ID: I20150727002881 |
| Provider Name | Megan Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922483742 PECOS PAC ID: 2466762091 Enrollment ID: I20151110001978 |
| Provider Name | Ashley Fruner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578879813 PECOS PAC ID: 5294035374 Enrollment ID: I20151120001748 |
| Provider Name | Amanda C Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528355765 PECOS PAC ID: 6709056583 Enrollment ID: I20160401001186 |
| Provider Name | Erin Jackson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982147682 PECOS PAC ID: 1254612559 Enrollment ID: I20161228001462 |
| Provider Name | Jarel Bakke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578006375 PECOS PAC ID: 7618258930 Enrollment ID: I20161228002262 |
| Provider Name | Jennifer L Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225571029 PECOS PAC ID: 4789965005 Enrollment ID: I20161228002415 |
| Provider Name | Shannon White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316499411 PECOS PAC ID: 4082995311 Enrollment ID: I20161229000235 |
| Provider Name | Jacquelyn Gfeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982150678 PECOS PAC ID: 2062793391 Enrollment ID: I20161229000320 |
| Provider Name | Gregory Read Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386995892 PECOS PAC ID: 7214181304 Enrollment ID: I20171113003199 |
| Provider Name | Kristin S Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396252813 PECOS PAC ID: 2365701885 Enrollment ID: I20180109000353 |
| Provider Name | Miranda Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942722814 PECOS PAC ID: 9436410255 Enrollment ID: I20180219000900 |
| Provider Name | Jennifer Rose Briant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932656287 PECOS PAC ID: 6800142134 Enrollment ID: I20180628002918 |
| Provider Name | Emily Everett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356822613 PECOS PAC ID: 4284987850 Enrollment ID: I20181029001282 |
| Provider Name | Amanda T Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710455357 PECOS PAC ID: 4183953904 Enrollment ID: I20190904001145 |
| Provider Name | Michael Kunish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568921104 PECOS PAC ID: 3779813829 Enrollment ID: I20191002003502 |
| Provider Name | Malina Lorring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831609734 PECOS PAC ID: 5890054431 Enrollment ID: I20200128001204 |
| Provider Name | Jillian Barry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144781782 PECOS PAC ID: 4082040738 Enrollment ID: I20200129000582 |
| Provider Name | Jenny M Reeve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902049950 PECOS PAC ID: 1951452655 Enrollment ID: I20200302001996 |
| Provider Name | Kaitlyn Barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144875352 PECOS PAC ID: 2961830872 Enrollment ID: I20200306001472 |
| Provider Name | Garrett Kitchel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093361834 PECOS PAC ID: 7214364561 Enrollment ID: I20200310001804 |
| Provider Name | Ryan Brinton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508425943 PECOS PAC ID: 1254769722 Enrollment ID: I20200316001383 |
| Provider Name | Krista Skaggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053966267 PECOS PAC ID: 6901233253 Enrollment ID: I20200324002536 |
| Provider Name | Nicholas Clay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144746447 PECOS PAC ID: 9931473824 Enrollment ID: I20200402003069 |
| Provider Name | Monica Hurst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740707512 PECOS PAC ID: 9638506975 Enrollment ID: I20200413001914 |
| Provider Name | Cailyn Crossland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538780002 PECOS PAC ID: 9133542897 Enrollment ID: I20201021003368 |
| Provider Name | Daniel R Cammarata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659699965 PECOS PAC ID: 4981664810 Enrollment ID: I20201106000304 |
| Provider Name | Jessica Haga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124626239 PECOS PAC ID: 3779996350 Enrollment ID: I20201229002087 |
| Provider Name | John Mckeever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033729967 PECOS PAC ID: 9739596529 Enrollment ID: I20210323000650 |
| Provider Name | David Matthew Silkey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578664991 PECOS PAC ID: 8022231844 Enrollment ID: I20210513001909 |
| Provider Name | Michael Jim Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801378831 PECOS PAC ID: 3476983818 Enrollment ID: I20210518002921 |
| Provider Name | Brityn Jowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639764616 PECOS PAC ID: 3375942543 Enrollment ID: I20210520003099 |
| Provider Name | Alena Lau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396350799 PECOS PAC ID: 6002215092 Enrollment ID: I20210524002787 |
| Provider Name | Jacob Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912522012 PECOS PAC ID: 0446672281 Enrollment ID: I20210603002484 |
| Provider Name | Heather Hagerup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003498098 PECOS PAC ID: 3072913029 Enrollment ID: I20210611001529 |
| Provider Name | Sarah Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982288395 PECOS PAC ID: 7113327743 Enrollment ID: I20210617002961 |
| Provider Name | Colin Koerner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770074577 PECOS PAC ID: 7012268642 Enrollment ID: I20210622003419 |
| Provider Name | Michelle Koerner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417445321 PECOS PAC ID: 2860742855 Enrollment ID: I20210623002768 |
| Provider Name | Amy Ruthenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861078529 PECOS PAC ID: 4789088527 Enrollment ID: I20210802001911 |
| Provider Name | Mayalin L Laforteza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285207092 PECOS PAC ID: 5799180543 Enrollment ID: I20210818000149 |
| Provider Name | Jennifer A Malloy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144274598 PECOS PAC ID: 7416945431 Enrollment ID: I20210909003030 |
| Provider Name | Melody L Walkup |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669996112 PECOS PAC ID: 5890126171 Enrollment ID: I20210915002253 |
| Provider Name | Anna Kaplan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558023127 PECOS PAC ID: 2668870064 Enrollment ID: I20211015002051 |
| Provider Name | Mitchel Schelling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962170654 PECOS PAC ID: 0042608234 Enrollment ID: I20211020001410 |
| Provider Name | Patrick Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417428590 PECOS PAC ID: 4880931393 Enrollment ID: I20220202000663 |
| Provider Name | Marianne Carolina Weichselbaumer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255802336 PECOS PAC ID: 7214274331 Enrollment ID: I20220304000547 |
| Provider Name | Christian Mayfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902550841 PECOS PAC ID: 1355736240 Enrollment ID: I20220310002025 |
| Provider Name | Blake Schnurr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073114294 PECOS PAC ID: 8325459951 Enrollment ID: I20220316003055 |
| Provider Name | Matthew Olesen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710130323 PECOS PAC ID: 4789741505 Enrollment ID: I20220317002477 |
| Provider Name | Seth Donelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760098792 PECOS PAC ID: 8224457817 Enrollment ID: I20220516000433 |
| Provider Name | Kevin Michael Joines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609481621 PECOS PAC ID: 2466871835 Enrollment ID: I20220520002247 |
| Provider Name | Kyle Iverson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497493688 PECOS PAC ID: 7416336565 Enrollment ID: I20220620001093 |
| Provider Name | Benjamin Salinas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689215394 PECOS PAC ID: 0143652370 Enrollment ID: I20220727003978 |
| Provider Name | Cynthia Coffin-greenig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801008388 PECOS PAC ID: 1355250481 Enrollment ID: I20220801002444 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235738972 PECOS PAC ID: 3577946417 Enrollment ID: I20220810001857 |
| Provider Name | Kimberly L Bakker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750904074 PECOS PAC ID: 8224450663 Enrollment ID: I20220831002978 |
| Provider Name | Quinn Eldridge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649907510 PECOS PAC ID: 9739564592 Enrollment ID: I20220914001735 |
| Provider Name | Jenna Mader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992295943 PECOS PAC ID: 0941608319 Enrollment ID: I20220929003303 |
| Provider Name | Regina Baker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578066932 PECOS PAC ID: 3577939735 Enrollment ID: I20221013001829 |
| Provider Name | Colin Mader |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427567593 PECOS PAC ID: 4688072465 Enrollment ID: I20221019001724 |
| Provider Name | Lance Briard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063132561 PECOS PAC ID: 5799154688 Enrollment ID: I20221215003123 |
| Provider Name | Erick Heckaman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548875271 PECOS PAC ID: 5294107215 Enrollment ID: I20230220002520 |
| Provider Name | Danielle Daigle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477118701 PECOS PAC ID: 8527490713 Enrollment ID: I20230221001604 |
| Provider Name | Joshua Babeu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790484665 PECOS PAC ID: 5294100327 Enrollment ID: I20230403002625 |
| Provider Name | Courtney Chisholm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932808516 PECOS PAC ID: 3678948676 Enrollment ID: I20230405000297 |
| Provider Name | Michael Nienow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730848433 PECOS PAC ID: 6507231958 Enrollment ID: I20230417002146 |
| Provider Name | Melinda Rose Monette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518667443 PECOS PAC ID: 4183099575 Enrollment ID: I20230418000642 |
| Provider Name | Jennifer L Vasiloff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568132173 PECOS PAC ID: 4082007190 Enrollment ID: I20230424002305 |
| Provider Name | Jack Ogilvie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851019020 PECOS PAC ID: 2860868320 Enrollment ID: I20230424002871 |
| Provider Name | Andrew Paul Bowser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316617442 PECOS PAC ID: 9133598857 Enrollment ID: I20230607002572 |
| Provider Name | Erica Kathryn Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598487266 PECOS PAC ID: 0446617393 Enrollment ID: I20230607002860 |
| Provider Name | Rose K Christen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346954302 PECOS PAC ID: 2163880865 Enrollment ID: I20230627002246 |
| Provider Name | David Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851016638 PECOS PAC ID: 4880061175 Enrollment ID: I20230705001481 |
| Provider Name | Laurie Graves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306538434 PECOS PAC ID: 7618336710 Enrollment ID: I20230707001984 |
| Provider Name | Paige Levora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437819620 PECOS PAC ID: 9739549536 Enrollment ID: I20230712000773 |
| Provider Name | Joshua M Phalen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619575628 PECOS PAC ID: 6507286457 Enrollment ID: I20230718002231 |
| Provider Name | Katie Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316622210 PECOS PAC ID: 2062872021 Enrollment ID: I20230721002592 |
| Provider Name | Austin J Kneip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740659671 PECOS PAC ID: 8224332820 Enrollment ID: I20230802004090 |
| Provider Name | Kate Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003594466 PECOS PAC ID: 8426410358 Enrollment ID: I20230809003112 |
| Provider Name | Kylah Maxwell-brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568140929 PECOS PAC ID: 3274995667 Enrollment ID: I20230817000763 |
| Provider Name | Cooper M Cochran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043994924 PECOS PAC ID: 5193189496 Enrollment ID: I20230919002664 |
| Provider Name | Andrew Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598402844 PECOS PAC ID: 9739533738 Enrollment ID: I20230925002893 |
| Provider Name | Margaret Mackay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699559286 PECOS PAC ID: 9830543701 Enrollment ID: I20230926002776 |
| Provider Name | Lauren Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104485689 PECOS PAC ID: 7618201427 Enrollment ID: I20231003002555 |
| Provider Name | Shera Jang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770271488 PECOS PAC ID: 8325402332 Enrollment ID: I20231004002375 |
| Provider Name | Caroline C Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942918958 PECOS PAC ID: 2365812484 Enrollment ID: I20231010000045 |
| Provider Name | Nicole Orteza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124701925 PECOS PAC ID: 4587019344 Enrollment ID: I20231013001883 |
| Provider Name | Damian Loucks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215714407 PECOS PAC ID: 6103272042 Enrollment ID: I20231027002982 |
| Provider Name | Hannah Van Vleet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336824010 PECOS PAC ID: 7416305180 Enrollment ID: I20231120001151 |
| Provider Name | Bethany Mcwilliams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700656584 PECOS PAC ID: 5698118503 Enrollment ID: I20240207004370 |
| Provider Name | Annelise Prat |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083488464 PECOS PAC ID: 2668815168 Enrollment ID: I20240212004275 |
| Provider Name | Dhweep Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467051243 PECOS PAC ID: 4789094384 Enrollment ID: I20240228002867 |
| Provider Name | Mathew Mcclanahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316546757 PECOS PAC ID: 0042621088 Enrollment ID: I20240228003308 |
| Provider Name | Sarah R Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033785803 PECOS PAC ID: 3678975000 Enrollment ID: I20240229004250 |
| Provider Name | Michael Buisson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710755285 PECOS PAC ID: 1456797091 Enrollment ID: I20240306001364 |
| Provider Name | Elizabeth Brenfleck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629654694 PECOS PAC ID: 9436567708 Enrollment ID: I20240315003482 |
| Provider Name | Shauna Marie Keeley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972926350 PECOS PAC ID: 2264750330 Enrollment ID: I20240408000771 |
| Provider Name | Hippolyte Bernard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811772361 PECOS PAC ID: 0244688620 Enrollment ID: I20240415001517 |
| Provider Name | Alice Koshevatskiy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699550145 PECOS PAC ID: 5799124418 Enrollment ID: I20240415001817 |
| Provider Name | Robert Shymansky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316692858 PECOS PAC ID: 5799124301 Enrollment ID: I20240416001455 |
| Provider Name | Jessica Lynn Ernst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669236618 PECOS PAC ID: 8628417888 Enrollment ID: I20240419003172 |
| Provider Name | Gregory S Kowal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114200383 PECOS PAC ID: 5698947653 Enrollment ID: I20240429002644 |
| Provider Name | Joel Hegeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013460021 PECOS PAC ID: 6901142967 Enrollment ID: I20240520003512 |
| Provider Name | Molly A Nienhuis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932692225 PECOS PAC ID: 5496004749 Enrollment ID: I20240604003708 |
| Provider Name | Justin D Geisler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811584386 PECOS PAC ID: 6709291529 Enrollment ID: I20240716004682 |
| Provider Name | Anuja Shashipadme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316518285 PECOS PAC ID: 9234535162 Enrollment ID: I20240718004149 |
| Provider Name | Victor A. Pascucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972226694 PECOS PAC ID: 7810365376 Enrollment ID: I20240808000713 |
| Provider Name | Meghan N Goutremout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144942988 PECOS PAC ID: 6204203912 Enrollment ID: I20240808002714 |
| Provider Name | Madison K Tyler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912741935 PECOS PAC ID: 0244778603 Enrollment ID: I20240815003661 |
| Provider Name | Joseph Virgilio Pablo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124630140 PECOS PAC ID: 9537579099 Enrollment ID: I20240826002764 |
| Provider Name | Amanda Qvigstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366280745 PECOS PAC ID: 7810436516 Enrollment ID: I20240826003667 |
| Provider Name | Amanda R Martinez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922845296 PECOS PAC ID: 8426597121 Enrollment ID: I20240826003830 |
| Provider Name | Kathryn M Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568208510 PECOS PAC ID: 6608315353 Enrollment ID: I20240827001123 |
| Provider Name | Lauren E Conley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184465221 PECOS PAC ID: 0547700700 Enrollment ID: I20240913003300 |
| Provider Name | Lindsey T Okeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528845427 PECOS PAC ID: 1951742840 Enrollment ID: I20240924001964 |
| Provider Name | Anna Dudin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528890001 PECOS PAC ID: 0042751547 Enrollment ID: I20240924004218 |
| Provider Name | Erin Lyons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295561165 PECOS PAC ID: 4789116682 Enrollment ID: I20241016004580 |
| Provider Name | Alexis Marino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205662137 PECOS PAC ID: 7113459025 Enrollment ID: I20241016004747 |
| Provider Name | Amanda Mcearl Tilyou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174017537 PECOS PAC ID: 1759630494 Enrollment ID: I20241017004398 |
| Provider Name | Cassius Tilyou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518665835 PECOS PAC ID: 5193180891 Enrollment ID: I20241017004409 |
| Provider Name | Forest Bingham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083449573 PECOS PAC ID: 5890227607 Enrollment ID: I20241017004425 |
| Provider Name | Kayla Ellison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013744622 PECOS PAC ID: 7719419373 Enrollment ID: I20241021002367 |
| Provider Name | Kyle Henningsgard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952138562 PECOS PAC ID: 9931631504 Enrollment ID: I20241021002700 |
| Provider Name | Colleen M Petras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467769364 PECOS PAC ID: 7517331879 Enrollment ID: I20241023001554 |
| Provider Name | Madison Anzai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679306625 PECOS PAC ID: 1254864648 Enrollment ID: I20241023003253 |
| Provider Name | Rachel Heinz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184188633 PECOS PAC ID: 4183158322 Enrollment ID: I20241112000618 |
| Provider Name | Thomas Chen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780439901 PECOS PAC ID: 2769824184 Enrollment ID: I20241112004091 |
| Provider Name | Rylee B Orteza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891516951 PECOS PAC ID: 7810421708 Enrollment ID: I20241114003210 |
| Provider Name | Emily Borders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801679683 PECOS PAC ID: 5597129197 Enrollment ID: I20241204000606 |
| Provider Name | Kalynn Mckee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275125536 PECOS PAC ID: 7810423035 Enrollment ID: I20241211004094 |
| Provider Name | Jason Proud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558195917 PECOS PAC ID: 7719414291 Enrollment ID: I20241223000161 |
| Provider Name | Grace La Porte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154155653 PECOS PAC ID: 6709313281 Enrollment ID: I20241223000228 |
| Provider Name | Jovanni Taveras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265040042 PECOS PAC ID: 6204245806 Enrollment ID: I20241223000358 |
| Provider Name | Karisa A Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114417284 PECOS PAC ID: 2365776796 Enrollment ID: I20250107003069 |
| Provider Name | Emily M Matlack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063177111 PECOS PAC ID: 8123417698 Enrollment ID: I20250107003828 |
| Provider Name | Gracie L Lehman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386483519 PECOS PAC ID: 9436698263 Enrollment ID: I20250114001058 |
| Provider Name | Jonathan Lehman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992544027 PECOS PAC ID: 5193264265 Enrollment ID: I20250210002040 |
| Provider Name | Mikayla Maves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770219610 PECOS PAC ID: 9830572593 Enrollment ID: I20250210002921 |
| Provider Name | Molly Peichel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003452459 PECOS PAC ID: 7719397454 Enrollment ID: I20250210003183 |
| Provider Name | Meghan King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467175091 PECOS PAC ID: 8820464829 Enrollment ID: I20250211002281 |
| Provider Name | Ellie Wallace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962096891 PECOS PAC ID: 3274949508 Enrollment ID: I20250213002466 |
| Provider Name | Courtney Zernick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508671074 PECOS PAC ID: 0840711065 Enrollment ID: I20250304003433 |
| Provider Name | Brian Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528873346 PECOS PAC ID: 3274055439 Enrollment ID: I20250317003016 |
| Provider Name | Nghia Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891524880 PECOS PAC ID: 6103348149 Enrollment ID: I20250319000969 |
| Provider Name | Maxwell White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083365662 PECOS PAC ID: 0941692818 Enrollment ID: I20250331000446 |
| Provider Name | Marian Slay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083438717 PECOS PAC ID: 2264968411 Enrollment ID: I20250331000946 |
| Provider Name | Lauren Broussard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619793338 PECOS PAC ID: 7911420955 Enrollment ID: I20250331001513 |
| Provider Name | Alexis Perreira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316775398 PECOS PAC ID: 7618493610 Enrollment ID: I20250501002586 |
| Provider Name | Charles Toal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104531672 PECOS PAC ID: 7719352459 Enrollment ID: I20250501003113 |
| Provider Name | Rachel Munnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699446070 PECOS PAC ID: 8022407972 Enrollment ID: I20250502002214 |
| Provider Name | William Cody Montgomery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134838311 PECOS PAC ID: 7113397399 Enrollment ID: I20250514002988 |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Physical Therapy And Sports Clinic Ps Inc 2400 Nw Myhre Rd Ste 101, Silverdale, WA 98383-7672 Ph: (360) 598-3764 | Kitsap Physical Therapy And Sports Clinic Ps Inc 2400 Nw Myhre Rd Ste 101, Silverdale, WA 98383-7672 Ph: (360) 598-3764 |
Mimi Colette Malgarini, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4409 Nw Anderson Hill Rd, Silverdale, WA 98383 Phone: 360-698-6630 Fax: 360-698-7002 | |
Mr. Robert Willem Punt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9228 Ridgetop Blvd Nw, #100, Silverdale, WA 98383 Phone: 360-308-8449 Fax: 360-308-8451 | |
Camille Chiquet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 Nw Myhre Rd Ste 102, Silverdale, WA 98383 Phone: 360-598-3764 | |
Garrett Kitchel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 Phone: 360-598-3764 | |
Cheryl Lee Davis, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10126 Frontier Pl Nw, Silverdale, WA 98383 Phone: 360-662-1040 | |
Nicole Bassett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9414 Ridgetop Blvd Nw Ste 106, Silverdale, WA 98383 Phone: 360-286-2647 | |
Dr. Julia Elizabeth Miller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9414 Ridgetop Blvd Nw Ste 106, Silverdale, WA 98383 Phone: 360-286-2647 |