NPIMap

Organization Active NPI

Kent Physical Therapy & Sports Performance Center LLC

  • Physical Therapy Clinic/Center
  • Everett, WA
National Provider Identifier
1013107549
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00008062 Issued in WA
Legal business name
KENT PHYSICAL THERAPY & SPORTS PERFORMANCE CENTER LLC
Practice address
2205 Wall St
Everett, WA 98201-3761
Phone
(425) 512-8695
Fax
(425) 512-8697
NPI assigned
Jul 31, 2007
Organization subpart
Yes
Parent organization
KENT PHYSICAL THERAPY & SPORTS PERFORMANCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert HamreNPI 1700998499
Title
Owner
Phone
(425) 512-8695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00008062 WA Primary

Addresses

Primary practice location

2205 Wall St
Everett, WA 98201-3761

Mailing address

2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695

Other identifiers 1

IdentifierTypeStateIssuer
0223987OtherWADEPT OF LABOR & INDUSTRY

Other names 1

  • Engineered Sports Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Kent Physical Therapy Spor

Locations

6015 S 240th St
Kent, WA 98032
Phone (253) 852-4587

4020 136th St NE
Marysville, WA 98271

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1013107549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WALL ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013761",
            "telephone_number": "425-512-8695",
            "fax_number": "425-512-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WALL ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013761",
            "telephone_number": "425-512-8695",
            "fax_number": "425-512-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT PHYSICAL THERAPY & SPORTS PERFORMANCE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENT PHYSICAL THERAPY & SPORTS PERFORMANCE CENTER",
        "enumeration_date": "2007-07-31",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "HAMRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-512-8695"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00008062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "0223987",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engineered Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.