Elite Kitsap Performance Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELITE KITSAP PERFORMANCE PHYSICAL THERAPY LLC

Doing business as

Elite Kitsap Performance Physical Therapy

Practice address

5686 NE Minder Rd Ste 104
Poulsbo, WA 98370-5809

Phone

(315) 405-5795

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Caleb R Cummins, DPT

Title

Owner

Phone

(315) 405-5795

Specialties & licenses 1

Addresses

Other names 1

• Elite Kitsap Performance Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1306536198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "CHIMACUM",
            "state": "WA",
            "postal_code": "983250296",
            "telephone_number": "315-405-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5686 NE MINDER RD STE 104",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983705809",
            "telephone_number": "315-405-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE KITSAP PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-405-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Kitsap Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Dunn
• Francie Corinn Edens, LMT
• Jennifer Edwards, DPT
• Katherine Egerer
• Ariel R Ehrlich, M.D.
• Katie Ellgass, M.D.
• Barbara Ellis-Danford
• Emeritus Corporation
• Empowersyou Counseling Services
• Katie Lynn Ernst, APRN, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.