NPIMap

Organization Active NPI

The Path Rehab & Performance LLC

  • Physical Therapist
  • Pacific, WA
National Provider Identifier
1326622002
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE PATH REHAB & PERFORMANCE LLC
Practice address
1087 Valentine Ave SE
Pacific, WA 98047-2127
Phone
(253) 693-0161
NPI assigned
May 10, 2021
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Brooks Kenderdine, DPTNPI 1144885294
Title
Doctor of Physical Therapy
Phone
(717) 341-2406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1087 Valentine Ave SE
Pacific, WA 98047-2127

Mailing address

252 Broadway Apt 410
Tacoma, WA 98402-4000
Phone (253) 693-0161

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drbrooks@thepathpt.com Direct

National Provider Directory

National Provider Directory

Locations

1087 Valentine Ave SE
Pacific, WA 98047
Phone (253) 693-0161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1326622002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BROADWAY APT 410",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024000",
            "telephone_number": "253-693-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 VALENTINE AVE SE",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980472127",
            "telephone_number": "253-693-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATH REHAB & PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "KENDERDINE",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "717-341-2406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drbrooks@thepathpt.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1087 Valentine Ave SE",
            "city": "Pacific",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980472127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pacific, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.