Bridge the Gap Physical Therapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIDGE THE GAP PHYSICAL THERAPY, LLC

Practice address

11811 NE 128TH St
Kirkland, WA 98034-7200

Phone

(920) 917-0840

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Trevor Lee Souik, DPT, CSCS, BRMNPI 1336652932

Title

Physical Therapist, Coach

Phone

(920) 917-0840

Specialties & licenses 1

Addresses

Practitioners 1

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

• Trevor L Souik, DPT

  • Physical Therapist
  • Snohomish, WA
  • NPI 1336652932
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1093478968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 NE 128TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347200",
            "telephone_number": "920-917-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 NE 128TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347200",
            "telephone_number": "920-917-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE THE GAP PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "SOUIK",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST,  COACH",
        "authorized_official_telephone_number": "920-917-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS, BRM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari J. Brennecke, MPT
• Kaylee Bressler
• Galen Brett, LMP
• Brian J. Dolgoff & Associates PS
• Aryn Brianvil
• Bridle Trails Physical Therapy and Athletic Training LLC
• Donald A Briggs, BS, RPH
• Bright Eyes, Inc.
• Geraldine Pearl Bright, LMP
• Anna Grace Brillault-Kenny

• Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.