Kitsap Physical Therapy and Sports Clinic PS Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC

Practice address

1880 Pottery Ave Ste 100
Port Orchard, WA 98366-2518

Phone

(360) 895-9090

NPI assigned

Apr 7, 2021

Last updated

May 10, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INCAs reported in NPPES

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

Authorized official

Name

Summer Zumwalt

Title

HRD

Phone

(360) 598-3764

Specialties & licenses 1

Addresses

Part of

Kitsap PT and Sports CL

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1053990960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW MYHRE RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837672",
            "telephone_number": "360-598-3764",
            "fax_number": "360-598-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KITSAP PHYSICAL THERAPY AND SPORTS CLINICS PS INC",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ZUMWALT",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "HRD",
        "authorized_official_telephone_number": "360-598-3764"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitsap Childrens Clinic LLP
• Kitsap Chiropractic
• Kitsap County (Kitsap County Sheriff's Office Jail)
• Kitsap County Aging
• Kitsap County Juvenile Department
• Kitsap Physical Therapy LLC (Kitsap Physical Therapy and Sports Clinics)
• Kitsap Sexual Assault Center
• Kitsap Sexual Assault Center
• Kitsap Speech Language Pathology Services (Kitsap SLP Services)
• Kitsap Therapeutic Medical Massage and Bodywork, LLC

• Durable Medical Equipment & Medical Supplies in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.