Pro-active Sportsmed Pllc - Medicare Physical Therapist in Tumwater, WA

  1. Home
  2. Physical Therapists
  3. WA
  4. Tumwater
Pro-active Sportsmed Pllc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Tumwater, Washington. Their current practice location is 111 Tumwater Blvd Se Ste 113, Tumwater, Washington. You can reach out to their office (for appointments etc.) via phone at (605) 283-3003.

Pro-active Sportsmed Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro-active Sportsmed Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861612335.

Contact Information

Pro-active Sportsmed Pllc
111 Tumwater Blvd Se Ste 113,
Tumwater, WA 98501-6422
(605) 283-3003
(360) 528-8162

Map and Direction




Healthcare Provider's Profile

Full NamePro-active Sportsmed Pllc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location111 Tumwater Blvd Se Ste 113, Tumwater, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861612335
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 03/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062303969
  • Enrollment ID: O20040322000725

Medical Identifiers

Medical identifiers for Pro-active Sportsmed Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861612335NPI-NPPES
7112923MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pro-active Sportsmed Pllc acts as a billing entity for following providers:
Provider NameMichelle M Ziegler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376528059
PECOS PAC ID: 5597717819
Enrollment ID: I20050215000774
Provider NameVinh Q Chung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245514926
PECOS PAC ID: 7618130444
Enrollment ID: I20120515000368
Provider NameVince A Gildner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396746418
PECOS PAC ID: 3678566627
Enrollment ID: I20120911000779
Provider NameMegan E Dalebout
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144639402
PECOS PAC ID: 4385968825
Enrollment ID: I20150112000038
Provider NameNicole C Fernandez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679086144
PECOS PAC ID: 0345508206
Enrollment ID: I20171222000547
Provider NameKindra M Mcdougall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205327905
PECOS PAC ID: 0840545596
Enrollment ID: I20180620001908
Provider NameBritanie Lining
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467091702
PECOS PAC ID: 2769812320
Enrollment ID: I20200422001082
Provider NameAlec C Kirk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164058582
PECOS PAC ID: 7618395997
Enrollment ID: I20200918000617
Provider NameMadeline Abbs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881325637
PECOS PAC ID: 7517349632
Enrollment ID: I20220804003572
Provider NameCatherine E Kirkman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346890167
PECOS PAC ID: 2062845134
Enrollment ID: I20221025002071
Provider NameSara M Geiger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760188924
PECOS PAC ID: 7719347996
Enrollment ID: I20230719003104

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro-active Sportsmed Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pro-active Sportsmed Pllc
4200 6th Ave Se Ste 203,
Lacey, WA 98503-1042

Ph: (360) 455-4448		Pro-active Sportsmed Pllc
111 Tumwater Blvd Se Ste 113,
Tumwater, WA 98501-6422

Ph: (605) 283-3003

Reviews and Comments


Physical Therapist in Tumwater, WA

Jordan Agtarap,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512
Phone: 564-999-4146    
Integrated Rehab Group Limited Partnership
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6981 Littlerock Rd Sw, Suite 105, Tumwater, WA 98512
Phone: 360-352-7352    Fax: 360-352-7680
Ms. Sheena M Daniel, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501
Phone: 360-493-4160    Fax: 360-493-4163
Michael E O'brien, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Dennis St Sw, Suite A, Tumwater, WA 98501
Phone: 360-704-3300    Fax: 360-704-7676
Lalani Shelton, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lake Park Dr Sw, Tumwater, WA 98512
Phone: 360-790-0546    
William Walter Linnenkohl, M.P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2755 Mottman Rd Sw, Tumwater, WA 98512
Phone: 360-352-5077    Fax: 360-352-5022
Christie Wallin,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Dennis St Sw Ste B, Tumwater, WA 98501
Phone: 360-338-0181    Fax: 360-338-0257

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.