| Kitsap Physical Therapy Llc | |
|
1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 | |
| (360) 895-9090 | |
| (360) 895-9089 |
| Full Name | Kitsap Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1880 Pottery Ave, Port Orchard, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811945900 | NPI | - | NPPES |
| 0150495 | Other | WA | WA STATE DEPT OF LABOR IN |
| DB8089 | Other | RR MEDICARE | |
| 7105166 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 602080097 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Physical Therapy Llc 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 Ph: (360) 895-9090 | Kitsap Physical Therapy Llc 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366-2518 Ph: (360) 895-9090 |
David Allan Hull, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4459 Se Mile Hill Dr, Port Orchard, WA 98366 Phone: 253-227-2253 | |
Kayla Marie Ellison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-895-9090 | |
Christopher Jonathan Neal, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 451 Sw Sedgwick Rd Ste 310, Port Orchard, WA 98367 Phone: 951-696-9353 Fax: 951-973-7216 | |
Forest Bingham, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-859-9090 | |
Mrs. Rhonda E. Law, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 Phone: 360-895-9090 Fax: 360-895-9089 | |
Marijke Augusta Edwards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 463 Tremont St W Ste 100, Port Orchard, WA 98366 Phone: 360-874-0745 Fax: 360-874-0846 | |
Nicole Marie Padmos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9602 Sunburst Ct Se, Port Orchard, WA 98367 Phone: 360-731-9519 |