Organization Active NPI

Doctors Clinic PC

Doing business as The Doctors Clinic Physical Therapy

  • Physical Therapy Clinic/Center
  • Silverdale, WA
National Provider Identifier
1386811743
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOCTORS CLINIC PC
Doing business as
The Doctors Clinic Physical Therapy
The Doctors Clinic a part of Franciscan Medical Group
Practice address
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone
(360) 830-1100
NPI assigned
May 14, 2008
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Jay Burghart
Title
Executive Director
Phone
(360) 782-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2200 NW Myhre Rd
Silverdale, WA 98383-7681

Mailing address

9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 782-3600

Other practice location 1

9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
7127822MedicaidWA

Other names 2

  • THE DOCTORS CLINIC PHYSICAL THERAPY Doing business as
  • The Doctors Clinic a part of Franciscan Medical Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0668852The Doctors Clinic Occupational Medicine9621 Ridgetop Blvd NW, Silverdale, WA 98383Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Doctors CL-Poulsbo4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1386811743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 RIDGETOP BLVD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838502",
            "telephone_number": "360-782-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW MYHRE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837681",
            "telephone_number": "360-830-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9621 Ridgetop Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838502",
            "country_code": "US",
            "telephone_number": "360-782-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "BURGHART",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-782-3601"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DOCTORS CLINIC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE DOCTORS CLINIC PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Doctors Clinic a part of Franciscan Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.