North Harbor Physical Therapy, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

602512736 Issued in WA

Legal business name

NORTH HARBOR PHYSICAL THERAPY, LLC

Practice address

11430 51St Ave NW
Suite 101B
Gig Harbor, WA 98332-7897

Phone

(253) 858-8555

Fax

(253) 858-8560

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Preston Owen Buckholz, DPTNPI 1427063890

Title

Owner/Physical Therapist

Phone

(253) 722-5511

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Owen Buckholz, D.P.T.

  • Physical Therapist
  • Lakewood, WA
  • NPI 1427063890
  Medicare reassignment Authorized official
• Clifford Eugene Beltz, BSPT

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1346296019
  NPD (past)
• Dacia House, DPT

  • Physical Therapist
  • Marysville, WA
  • NPI 1992296479
  NPD (past)
• Bonnie Lee McGee, PT, OCS, ATC

  • Specialist
  • Gig Harbor, WA
  • NPI 1467460683
  NPD (past)
• Linnea Joy Wahlstrom-Tarbet, LMT

  • Specialist
  • Lakewood, WA
  • NPI 1083199327
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508874801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 51ST AVE NW",
            "address_2": "SUITE 101B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327897",
            "telephone_number": "253-858-8555",
            "fax_number": "253-858-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 51ST AVE NW",
            "address_2": "SUITE 101B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327897",
            "telephone_number": "253-858-8555",
            "fax_number": "253-858-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HARBOR PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLZ",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "253-722-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "602512736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aksel G Nordestgaard, M.D.
• Nordhavn Plastic Surgery, PLLC
• Denise Lynette Nordi, OTRL
• Summer Nicole Nordike
• Celeste Corinne Norelius, PT
• North-Star Care of California PC
• Northland Hearing Centers Inc
• Northland Hearing Centers, Inc.
• Northwest Center for Sports Medicine & Physical Therapy, Inc.
• Northwest Medical Specialist

• Specialist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.