Tessa Kush, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60892893 Issued in WA

Practice address

6700 NE 162ND Ave Ste 411
Vancouver, WA 98682-3863

Phone

(360) 567-0633

Fax

(360) 567-0635

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC

  • Physical Therapy Clinic/Center
  • Vancouver, WA
  • NPI 1053326561
  NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1992288187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 NE VILLAGE ST",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243827",
            "telephone_number": "503-489-1174",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NE 162ND AVE STE 411",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823863",
            "telephone_number": "360-567-0633",
            "fax_number": "360-567-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSH",
        "first_name": "TESSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60892893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Truong, DDS, MSD, PLLC
• Kurt Truong, DDS, MSD, PLLC
• Kurt Truong, DDS, MSD, PLLC
• Antonio Nicholos Kuschell
• Maya Patricia Kuschner
• Kayleigh Alyce Kussman, RN
• Renee Kuvelas
• Stephani Kuykendall, AAC
• Nancy Kuzior
• Viktor Kuznetsov, DNP

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.