South Whidbey Physical Therapy and Sports Clinic Inc
Organization Active NPI Physical Therapy Clinic/Center · Clinton, WA
NPI 1306947841 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1306947841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 601918262 (WA)
- Legal business name
- SOUTH WHIDBEY PHYSICAL THERAPY AND SPORTS CLINIC INC
- Practice address
- 11042 Sr 525 # 134
Clinton, WA 98236-8618 - Phone
- (360) 341-1299
- Fax
- (360) 341-1277
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Andrew Joseph Goetz, PT
- Title
- Owner/Physical Therapist
- Phone
- (360) 341-1299
Practitioners 5
-
Andrew J Goetz, PT
-
Allison Blackwell, DPT
-
Shannon Em Arndt, MSPT
-
Sarah Bradfield Manchester, MA, LMHC, MHP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000914 | WA | Part B Supplier - Clinic/Group Practice | 6507757895 |
Receives reassigned benefits from 1 practitioner Practice locations: Clinton, WA |
National Provider Directory
Locations
11042 State Route 525
Ste 134
Clinton, WA 98236
Phone (360) 331-5272
11042 Sr 525
#134
Clinton, WA 98236
Phone (360) 341-1299
772 Camano Ave
Langley, WA 98260
Phone (360) 221-2262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 601918262 | WA | Yes |
Addresses
Primary practice location
11042 Sr 525 # 134
Clinton, WA 98236-8618
Mailing address
PO Box 643
Clinton, WA 98236-0643
Phone (360) 341-1299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0181085 | Other | WA | DEPT OF LABOR AND INDUSTR |
Other providers in Clinton, WA
- Salish Sea Physical Therapy LLC
- Dennis Sayles
- Barbara Schiltz
- Lia B Schmitz
- Soas, LLC
- South Whidbey Psychological Services, PLLC
- Terry Clark Thomas
- Jodi Ann Thompson
- Bradford S Weeks
- Vicki R Werve
All providers in Clinton, WA · Physical Therapy Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.