Organization Active NPI

Boomerang Physical Therapy

Doing business as Boomerang Therapy Works

  • Physical Therapy Clinic/Center
  • Vancouver, WA
National Provider Identifier
1659745230
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BOOMERANG PHYSICAL THERAPY
Doing business as
Boomerang Therapy Works
Practice address
717 Grand Blvd
Vancouver, WA 98661-4821
Phone
(360) 258-1637
Fax
(360) 314-2627
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Emily Lynn Kaemmerlen, PT, DPTNPI 1881119782
Title
Owner
Phone
(360) 258-1637

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00009414 WA
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

717 Grand Blvd
Vancouver, WA 98661-4821

Mailing address

717 Grand Blvd
Vancouver, WA 98661-4821
Phone (360) 258-1637

Other identifiers 6

IdentifierTypeStateIssuer
1710231592OtherNPI
1881119782OtherNPI
1962915058OtherNPI
1992083927OtherNPI
1417562133OtherNPI
1578121620OtherNPI

Other names 1

  • Boomerang Therapy Works Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129002367 WA Part B Supplier - Clinic/Group Practice 2163725847 Receives reassigned benefits from 4 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

717 Grand Blvd
Vancouver, WA 98661
Phone (360) 258-1637

4201 NE 66th Ave
Ste 104
Vancouver, WA 98661
Phone (360) 254-4914

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1659745230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614821",
            "telephone_number": "360-258-1637",
            "fax_number": "360-314-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614821",
            "telephone_number": "360-258-1637",
            "fax_number": "360-314-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMERANG PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KAEMMERLEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-258-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00009414",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710231592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881119782",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962915058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992083927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417562133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578121620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boomerang Therapy Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.