Kitsap Physical Therapy and Sports Clinic PS Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC

Practice address

2500 Cherry Ave Ste 203
Bremerton, WA 98310-4202

Phone

(360) 792-1015

Fax

(360) 598-3282

NPI assigned

Apr 12, 2021

Organization subpart

Yes

Parent organization

KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INCAs reported in NPPES

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

Authorized official

Name

Summer Zumwalt

Title

HRD

Phone

(360) 598-3764

Specialties & licenses 1

Addresses

Part of

Kitsap PT and Sports Clinic

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1497335756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW MYHRE RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837672",
            "telephone_number": "360-598-3764",
            "fax_number": "360-598-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-792-1015",
            "fax_number": "360-598-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KITSAP PHYSICAL THERAPY AND SPORTS CLINIC PS INC",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "ZUMWALT",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "HRD",
        "authorized_official_telephone_number": "360-598-3764"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitsap Mental Health Services
• Kitsap Mental Health Services
• Kitsap Mental Health Services
• Kitsap Peninsula Ocd & Anxiety Services PLLC
• Kitsap Peninsula Surgery Center Limited Partnership
• Kitsap Public Health District
• Kitsap Public Health District
• Kitsap Public Health District
• Kitsap Public Health District
• Kitsap Public Health District

• Durable Medical Equipment & Medical Supplies in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.