| Pro-active Sportsmed Pllc | |
|
111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422 | |
| (605) 283-3003 | |
| (360) 528-8162 |
| Full Name | Pro-active Sportsmed Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 111 Tumwater Blvd Se Ste 113, Tumwater, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861612335 | NPI | - | NPPES |
| 7112923 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Michelle M Ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376528059 PECOS PAC ID: 5597717819 Enrollment ID: I20050215000774 |
| Provider Name | Vinh Q Chung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245514926 PECOS PAC ID: 7618130444 Enrollment ID: I20120515000368 |
| Provider Name | Vince A Gildner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396746418 PECOS PAC ID: 3678566627 Enrollment ID: I20120911000779 |
| Provider Name | Megan E Dalebout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144639402 PECOS PAC ID: 4385968825 Enrollment ID: I20150112000038 |
| Provider Name | Nicole C Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679086144 PECOS PAC ID: 0345508206 Enrollment ID: I20171222000547 |
| Provider Name | Kindra M Mcdougall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205327905 PECOS PAC ID: 0840545596 Enrollment ID: I20180620001908 |
| Provider Name | Britanie Lining |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467091702 PECOS PAC ID: 2769812320 Enrollment ID: I20200422001082 |
| Provider Name | Alec C Kirk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164058582 PECOS PAC ID: 7618395997 Enrollment ID: I20200918000617 |
| Provider Name | Madeline Abbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881325637 PECOS PAC ID: 7517349632 Enrollment ID: I20220804003572 |
| Provider Name | Catherine E Kirkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346890167 PECOS PAC ID: 2062845134 Enrollment ID: I20221025002071 |
| Provider Name | Sara M Geiger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760188924 PECOS PAC ID: 7719347996 Enrollment ID: I20230719003104 |
| Mailing Address | Practice 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 |
Jordan Agtarap, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512 Phone: 564-999-4146 | |
Blossom Pediatric Therapy Pnw, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C210, Tumwater, WA 98501 Phone: 360-389-3706 | |
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: Not Enrolled in Medicare Practice Location: 2755 Mottman Rd Sw, Tumwater, WA 98512 Phone: 360-352-5077 Fax: 360-352-5022 |