Quantum Leap Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

00009235 Issued in WA

Legal business name

QUANTUM LEAP PHYSICAL THERAPY

Practice address

225 NW Lindvig Way Ste 6
Poulsbo, WA 98370-9090

Phone

(360) 990-6627

Fax

(866) 590-7449

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Heather McWilliams, PT

Title

Physical Therapist

Phone

(360) 990-6627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1710388632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 NE BRACKENWOOD LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101123",
            "telephone_number": "206-780-5467",
            "fax_number": "866-590-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY STE 6",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709090",
            "telephone_number": "360-990-6627",
            "fax_number": "866-590-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM LEAP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-990-6627",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "00009235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PT Works
• Puget Sound Kidney Centers (Puget Sound Kidney Center-Poulsbo)
• Puget Sound Rheumatology PLLC
• Randal Scott Puhn, DDS
• Kim Kevin Pulver, DDS
• Amanda Qvigstad
• R Scott Puhn DDS PS
• R.S. Puhn, D.D.S., P.L.L.C.
• Benjamin Michael Radack, D.P.T.
• Scott Radetski, LMHCA, M-DIV

• Physical Therapy Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.