Individual provider Active NPI

Tawny Herring

  • Rehabilitation Hospital
  • Silverdale, WA
National Provider Identifier
1689125148
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
PT29244 Issued in FL
Practice address
Kitsap Physical Therapy
2400 NW Myhre Rd Ste 102
Silverdale, WA 98383
Phone
(360) 613-1834
Fax
(360) 598-3282
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X PT29244 FL Primary
Physical Therapist 225100000X PT61169662 WA

Addresses

Primary practice location

Kitsap Physical Therapy
2400 NW Myhre Rd Ste 102
Silverdale, WA 98383

Mailing address

2400 NW Myhre Rd
Ste 100
Silverdale, WA 98383
Phone (360) 598-3764

Other practice location 1

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

Other names 1

  • Tawny Najjar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311000297 GA Practitioner - Physical Therapist in Private Practice 9436556123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neu-Level Therapy and Wellness LLCGroup PAC ID 5496161382, 4 clinicians

Practice addresses (Care Compare)

100 Millbrook Village Dr
Suite C
Tyrone, GA 30290-3603
Phone (678) 545-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29244FLMDRehabilitation Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Neu-Level Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients

Locations

100 Millbrook Village Dr
Ste C
Tyrone, GA 30290
Phone (678) 364-9412

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1689125148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW MYHRE RD",
            "address_2": "STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "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": "KITSAP PHYSICAL THERAPY",
            "address_2": "2400 NW MYHRE RD STE 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-613-1834",
            "fax_number": "360-598-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3599 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164252",
            "country_code": "US",
            "telephone_number": "904-345-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRING",
        "first_name": "TAWNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "PT29244",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61169662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNY",
            "last_name": "NAJJAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.