Kitsap Physical Therapy And Sports Clinics
LBN: Kitsap Physical Therapy Llc
Kitsap Physical Therapy And Sports Clinics is an health care organization with primary practice located at 1880 Pottery Ave Suite 100, Port Orchard WA 98366-2518. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Kitsap Physical Therapy Llc can be contacted via phone (360) 895-9090, or through Carlson, John Robert via phone (360) 895-9090.
Contact Information
Primary practice address
1880 Pottery Ave Suite 100
Port Orchard WA 98366-2518
Phone: (360) 895-9090
Fax: (360) 895-9089
Website:
Authorized official contact:
Name: Carlson, John Robert Physical Therapist (PT)
Phone: (360) 895-9090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 602080097 | Washington |
Profile Details
| NPI number | 1811945900 |
|---|---|
| LBN Legal business name | Kitsap Physical Therapy Llc |
| DBA Doing business as | Kitsap Physical Therapy And Sports Clinics |
| Authorized official | Carlson, John Robert Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 7th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811945900 | NPPES |
| Washington | Other | 0150495 | WA STATE DEPT OF LABOR IN |
| Washington | Other | DB8089 | WA STATE DEPT OF LABOR IN |
| Washington | MEDICAID | 7105166 | WA STATE DEPT OF LABOR IN |
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