Individual provider Active NPI

Kimberly L Bakker, DPT

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1750904074
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61024201 Issued in WA
Practice address
9501 W Clearwater Ave Ste A130
Kennewick, WA 99336-8640
Phone
(509) 241-8120
NPI assigned
May 20, 2020
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 61024201 WA Primary

Addresses

Primary practice location

9501 W Clearwater Ave Ste A130
Kennewick, WA 99336-8640

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

510 W Maloney Ave Ste C
Gallup, NM 87301-5489
Phone (505) 488-2615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GallupNM@apexnetworkpt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220831002978 WA Practitioner - Physical Therapist in Private Practice 8224450663 Reassigns benefits to 4 organizations
I20240918003793 AZ Practitioner - Physical Therapist in Private Practice 8224450663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

6704 Tacoma Mall Blvd
Suite 100
Tacoma, WA 98409-9001
Phone (253) 475-4870

9501 W Clearwater Ave
Suite A130
Kennewick, WA 99336-8640
Phone (509) 241-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61024201WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Multicare Health System CurrentSince Jan 30, 2026 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 1, 2023 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 1, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Oct 30, 2022 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Oct 30, 2022 Accepting new patients
Progressive Rehabilitation Orthopedic Therapy, Inc CurrentSince Aug 28, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients
Peak Sports & Spine Physical Therapy-Klahanie PS Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist PastSince Aug 5, 2013 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1948 Mesquite Ave
Ste 101
Lk Havasu Cty, AZ 86403
Phone (928) 854-4776

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

945 Hildebrand Ln NE
Ste 220
Bainbridge Island, WA 98110
Phone (206) 842-6288

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

9501 W Clearwater Ave
Ste A130
Kennewick, WA 99336
Phone (509) 241-8120

3807 W Court St
Pasco, WA 99301
Phone (509) 547-3725

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

4550 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-2427

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

6704 Tacoma Mall Blvd
Ste 100
Tacoma, WA 98409
Phone (253) 475-4870

Interoperability endpoints

  • Direct secure messaging: gallupnm@apexnetworkpt.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1750904074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W CLEARWATER AVE STE A130",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368640",
            "telephone_number": "509-241-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Maloney Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015489",
            "country_code": "US",
            "telephone_number": "505-488-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61024201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GallupNM@apexnetworkpt.com",
            "affiliation": "N",
            "address_1": "510 W Maloney Ave Ste C",
            "city": "Gallup",
            "state": "NM",
            "country_code": "US",
            "postal_code": "873015489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.