Intecore Wa, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60822534 Issued in WA

Legal business name

INTECORE WA, INC

Practice address

1550 NE Riddell Rd Ste 170
Bremerton, WA 98310-3060

Phone

(360) 474-3274

Fax

(360) 824-6720

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Martin Andrew VertsonNPI 1851326946

Title

President/Physical Therapist

Phone

(360) 474-3274

Specialties & licenses 1

Addresses

Other names 1

• Intecore Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Martin Andrew Vertson, P.T., D.P.T., A.T.C.

  • Physical Therapist
  • Bremerton, WA
  • NPI 1851326946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1215445549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE STATE WAY 303 #103-221",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98311",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE RIDDELL RD STE 170",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103060",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23552 NE State Route 3 Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Belfair",
            "state": "WA",
            "postal_code": "985289300",
            "country_code": "US",
            "telephone_number": "360-205-3237",
            "fax_number": "360-925-3305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTECORE WA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "VERTSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-474-3274"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60822534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intecore Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.