Active NPI
Joseph A Pronk, PT
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1871509497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002929
- Practice address
- 10510 Northup Way
Suite 140
Kirkland, WA 98033-7901 - Phone
- (425) 576-8180
- Fax
- (425) 828-7840
- NPI assigned
- Aug 1, 2006
- Last updated
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002929 | WA | Primary |
Addresses
Primary practice location
10510 Northup Way
Suite 140
Kirkland, WA 98033-7901
Mailing address
PO Box 6908
Bellevue, WA 98008-0908
Phone (425) 576-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002929 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esrc PLLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastside Sports Rehab
- Physical Therapy Clinic/Center
- Bellevue, WA
- NPI 1699796755
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1871509497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6908",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980080908",
"telephone_number": "425-576-8180",
"fax_number": "425-828-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 NORTHUP WAY",
"address_2": "SUITE 140",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337901",
"telephone_number": "425-576-8180",
"fax_number": "425-828-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRONK",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
- Proliance Surgeons, Inc., P.S. (Proliance Eastside MRI)
- Proliance Surgeons, Inc., P.S. (Evergreen Surgical Clinic)
- Proliance Surgeons, Inc., P.S. (Proliance Eastside ENT)
- Proliance Surgeons, Inc., P.S. (Proliance Eastside Surgery Center)
- Proliance Surgeons, Inc., P.S. (Evergreen Surgical Clinic Ambulatory Surgery Center)
- Prosthetic Specialists of Washington
- Brad Scott Pruitt, R.PH
- Rolin Alan Pruyn, PA-C
- Andrea M Pryce, ND
- Jessica Psenski, LMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.