Joshua Babeu
Individual provider Active NPI Physical Therapist · Port Orchard, WA
NPI 1790484665 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1790484665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1880 Pottery Ave Ste 100
Port Orchard, WA 98366-2518 - Phone
- (360) 895-9090
- NPI assigned
- Feb 28, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Baylor College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kitsap Physical Therapy and Sports Clinic PS Inc
Practice addresses (Care Compare)
1880 Pottery Ave
Suite 100
Port Orchard, WA 98366-2518
Phone (360) 895-9090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230403002625 | WA | Practitioner - Physical Therapist in Private Practice | 5294100327 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1880 Pottery Ave
Ste 100
Port Orchard, WA 98366
Phone (360) 859-9090
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1880 Pottery Ave Ste 100
Port Orchard, WA 98366-2518
Mailing address
2400 NW Myhre Rd Ste 101
Silverdale, WA 98383-7672
Phone (360) 598-3764
NPI Registry JSON
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1790484665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NW MYHRE RD STE 101",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837672",
"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": "1880 POTTERY AVE STE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662518",
"telephone_number": "360-895-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABEU",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
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- Lindsey Rae Atchison
- Erma Atienza
- Rachel Reese Axtelle
- Wade Robert Ayers
- Danielle Marie Bagley
- Spencer Bailey
- Paul David Baker
- Amanda Lynn Ballard
- Cathryn G Bangs
All providers in Port Orchard, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.