Kitsap Physical Therapy and Sports Clinic PS Inc

A Medicare group practice based in Silverdale, WA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6507762333), with 205 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507762333The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Occupational Therapist, DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
5
Group size
142 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 6 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20031211000242 WA Part B Supplier - Clinic/Group Practice 1912902347
O20210316002553 WA DME Supplier - Independently-Practicing Occupational Therapist 1699355446
O20210623001199 WA DME Supplier - Independently-Practicing Physical Therapist 1114507068
O20210623003148 WA DME Supplier - Independently-Practicing Physical Therapist 1154901437
O20210707003295 WA DME Supplier - Independently-Practicing Physical Therapist 1700466083

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 205

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Clinicians who reassign their Medicare benefits to this group (202) or whom Care Compare lists as members (142).

Sources for this page