Active NPI
Boomerang Physical Therapy
Doing business as Boomerang Therapy Works
- Physical Therapy Clinic/Center
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emily Lynn Kaemmerlen, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710231592 | Other | NPI | |
| 1881119782 | Other | NPI | |
| 1962915058 | Other | NPI | |
| 1992083927 | Other | NPI | |
| 1417562133 | Other | NPI | |
| 1578121620 | Other | NPI |
Other names 1
- Boomerang Therapy Works
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Vancouver, WA
- NPI 1881119782
-
- Physical Therapist
- Vancouver, WA
- NPI 1417503574
-
- Physical Therapist
- Vancouver, WA
- NPI 1184448847
-
- Physical Therapist
- Vancouver, WA
- NPI 1093436990
-
- Physical Therapist
- Portland, OR
- NPI 1477071793
-
- Occupational Therapist
- Vancouver, WA
- NPI 1316446941
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.