Ultimate Performance Rehabilitation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT00002325 Issued in WA

Legal business name

ULTIMATE PERFORMANCE REHABILITATION LLC

Practice address

19351 8TH Ave NE
Suite 200
Poulsbo, WA 98370-8710

Phone

(360) 697-3003

Fax

(360) 697-3026

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Marie Milyard, OTR/L

Title

Owner/Occupational Therapist

Phone

(360) 697-3003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura Shelfer Sinclair, PT, NCS

  • Physical Therapist
  • Poulsbo, WA
  • NPI 1417189507
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1013175744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE",
            "address_2": "SUITE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708710",
            "telephone_number": "360-697-3003",
            "fax_number": "360-697-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE",
            "address_2": "SUITE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708710",
            "telephone_number": "360-697-3003",
            "fax_number": "360-697-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PERFORMANCE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MILYARD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "360-697-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "OT00002325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Triebenbach
• Willow Kopra Tucker
• Stacey Lynn Turk, DPT
• Catelyn Tweeten, AU.D.
• Heather Ullrich
• Ruth Urand
• James A Van, PA-C
• Rebekah E Verdugo, LICSW, LCSW, SUDP
• Vintage Direct Primary Care
• Virginia E Swanson MD PLLC

• Rehabilitation Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.