Cameron Avcu, DPT

Individual provider Active NPI Physical Therapist · Pullman, WA

NPI 1275213670 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1275213670
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
1225 S Grand Ave
Pullman, WA 99163-5289
Phone
(509) 338-9204
NPI assigned
Jul 20, 2023
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Proformance Physical Therapy, LLC Single Specialty Current
since Aug 28, 2023
Accepting new patients

Locations

1225 S Grand Ave
Ste B
Pullman, WA 99163
Phone (509) 338-9204

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1225 S Grand Ave
Pullman, WA 99163-5289

Mailing address

1225 S Grand Ave
Pullman, WA 99163-5289
Phone (509) 338-9204

Other providers in Pullman, WA

All providers in Pullman, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.