Individual provider Active NPI

Michael D Kane, MPT MOMT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1538128657
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003114 Issued in WA
Practice address
2006 W Lincoln Ave
Ste a
Yakima, WA 98902
Phone
(509) 573-4816
Fax
(509) 573-4825
NPI assigned
Mar 18, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00003114 WA Primary

Addresses

Primary practice location

2006 W Lincoln Ave
Ste a
Yakima, WA 98902

Mailing address

2006 W Lincoln Ave
Ste a
Yakima, WA 98902
Phone (509) 573-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000083 WA Practitioner - Physical Therapist in Private Practice 2062561301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Pro-Motion Physical Therapy and Functional Fitness P CGroup PAC ID 2961551213, 4 clinicians

Practice addresses (Care Compare)

2006 W Lincoln Ave
Suite a
Yakima, WA 98902-2406
Phone (509) 573-4816

Merit-based Incentive Payment System (MIPS)

Final score
24.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025208WAMDCardiovascular Disease Physician
PT00003114WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy and Functional Fitness P.C. Physical Therapist CurrentSince Apr 2, 2009 Accepting new patients

Locations

2006 W Lincoln Ave
#A
Yakima, WA 98902
Phone (509) 573-4816

2006 W Lincoln Ave
Ste A
Yakima, WA 98902
Phone (509) 453-4816

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538128657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 W LINCOLN AVE",
            "address_2": "STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-573-4816",
            "fax_number": "509-573-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 W LINCOLN AVE",
            "address_2": "STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-573-4816",
            "fax_number": "509-573-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MPT MOMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.