| Pro Sport Physical Therapy, Llc | |
|
5160 Borgen Blvd Ste 101, Gig Harbor, WA 98332-8809 | |
| (253) 853-4000 | |
| (253) 853-4001 |
| Full Name | Pro Sport Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5160 Borgen Blvd Ste 101, 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 |
|---|---|---|---|
| 1114552155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ryan R Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578708343 PECOS PAC ID: 1759445281 Enrollment ID: I20140317000593 |
| Provider Name | Jennifer Bird |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598149890 PECOS PAC ID: 2365749173 Enrollment ID: I20160322001891 |
| Provider Name | Kirra Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699132050 PECOS PAC ID: 2860795515 Enrollment ID: I20170116000047 |
| Provider Name | Nathan Stern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427536382 PECOS PAC ID: 5496007627 Enrollment ID: I20181016002301 |
| Provider Name | Tara M Basile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851940449 PECOS PAC ID: 1759613649 Enrollment ID: I20200626001875 |
| Provider Name | Kevin J Mcnamara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275192817 PECOS PAC ID: 9133547383 Enrollment ID: I20200921000776 |
| Provider Name | Philip Aurelio Secondez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770182685 PECOS PAC ID: 7810301405 Enrollment ID: I20210121002017 |
| Provider Name | Christopher Hughen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467172767 PECOS PAC ID: 6204212079 Enrollment ID: I20220930002404 |
| Provider Name | Andrew D Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427782945 PECOS PAC ID: 3577949221 Enrollment ID: I20221003002779 |
| Provider Name | Charles Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811421571 PECOS PAC ID: 7416327077 Enrollment ID: I20221223001197 |
| 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 | Sydney Jew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538764279 PECOS PAC ID: 0749693356 Enrollment ID: I20240408000219 |
| Provider Name | Patrick Healy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285468058 PECOS PAC ID: 7618409079 Enrollment ID: I20241010002411 |
| Provider Name | Sean White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346081643 PECOS PAC ID: 0749714194 Enrollment ID: I20241107004290 |
| Provider Name | Danielle August |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952087959 PECOS PAC ID: 1254790157 Enrollment ID: I20250206001113 |
| Provider Name | Kaden Hersel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467006544 PECOS PAC ID: 0941729503 Enrollment ID: I20250527003305 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Sport Physical Therapy, Llc 5160 Borgen Blvd Ste 101, Gig Harbor, WA 98332-8809 Ph: (253) 853-4000 | Pro Sport Physical Therapy, Llc 5160 Borgen Blvd Ste 101, Gig Harbor, WA 98332-8809 Ph: (253) 853-4000 |
Amber L Scouller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Point Fosdick Dr Ste 213, Gig Harbor, WA 98335 Phone: 253-851-5718 | |
George Jeffrey Hebel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Hollycroft St Ste 310, Gig Harbor, WA 98335 Phone: 253-649-5182 | |
Michael J Kubik, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 708 135th St Nw, Gig Harbor, WA 98332 Phone: 402-721-9662 | |
Dr. Alicia Ann Kain, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10550 Harbor Hill Dr, Gig Harbor, WA 98332 Phone: 253-649-5182 | |
Trina J. Leaf, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9107 73rd Avenue Ct Nw, Gig Harbor, WA 98332 Phone: 253-853-3987 | |
Amy Snell, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4411 Point Fosdick Dr Nw Ste 101, Gig Harbor, WA 98335 Phone: 253-851-7472 | |
Carolyn Christine Weiser Munday, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4700 Point Fosdick Dr # 318, Gig Harbor, WA 98335 Phone: 253-697-5200 Fax: 253-530-8311 |