Individual provider Active NPI

Michelle Kathryn Tonkinson, BS PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1740297639
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7335 Issued in WA
Practice address
222 NE Park Plaza Dr
Suite 120
Vancouver, WA 98684-5895
Phone
(360) 253-8285
Fax
(360) 883-0806
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 7335 WA Primary

Addresses

Primary practice location

222 NE Park Plaza Dr
Suite 120
Vancouver, WA 98684-5895

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other identifiers 2

IdentifierTypeStateIssuer
O9I010OtherWAREGENCE BCBS
508460001OtherORREGENCE BCBS

Other names 1

  • Michelle Kathryn Maeckelbergh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070110000412 WA Practitioner - Physical Therapist in Private Practice 9830140797 Reassigns benefits to 1 organization
I20211014002794 OR Practitioner - Physical Therapist in Private Practice 9830140797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

1242 State Ave
Suite a
Marysville, WA 98270-3672
Phone (360) 572-5800

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
7335WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC PastSince Jan 1, 2013 Accepting new patients
Providence Medical Group, PC Past Accepting new patients
New Proactive LLC Physical Therapist PastSince Sep 17, 2018 Accepting new patients
Touchmark at Fairway Village LLC PastSince Aug 12, 2006 Accepting new patients
Powers Chiropractic & Rehabilitation Clinics, PLLC Physical Therapist PastSince Jan 19, 2005 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944

7545 SW Barnes Rd
Ste 117
Portland, OR 97225
Phone (503) 205-6704

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

1242 State Ave
Ste A
Marysville, WA 98270
Phone (360) 572-5800

1570 W Armory Way
Ste 103
Seattle, WA 98119
Phone (206) 494-0459

512 NE 81st St
Ste H
Vancouver, WA 98665
Phone (360) 553-3782

Organizations & group practices 8

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1740297639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NE PARK PLAZA DR",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845895",
            "telephone_number": "360-253-8285",
            "fax_number": "360-883-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONKINSON",
        "first_name": "MICHELLE",
        "middle_name": "KATHRYN",
        "credential": "BS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "7335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "O9I010",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "508460001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MAECKELBERGH",
            "middle_name": "KATHRYN",
            "credential": "BS PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 13, 2025; 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.