Pro Sport Physical Therapy, Llc | |
5125 Olympic Dr Ste 110, Gig Harbor, WA 98335-1712 | |
(253) 853-4000 | |
(253) 853-4001 |
Full Name | Pro Sport Physical Therapy, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5125 Olympic Dr Ste 110, Gig Harbor, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114552155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ryan R Larson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578708343 PECOS PAC ID: 1759445281 Enrollment ID: I20140317000593 |
Provider Name | Jennifer Bird |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598149890 PECOS PAC ID: 2365749173 Enrollment ID: I20160322001891 |
Provider Name | Kirra Hicks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699132050 PECOS PAC ID: 2860795515 Enrollment ID: I20170116000047 |
Provider Name | Nathan Stern |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427536382 PECOS PAC ID: 5496007627 Enrollment ID: I20181016002301 |
Provider Name | Tara M Basile |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851940449 PECOS PAC ID: 1759613649 Enrollment ID: I20200626001875 |
Provider Name | Kevin J Mcnamara |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275192817 PECOS PAC ID: 9133547383 Enrollment ID: I20200921000776 |
Provider Name | Christopher D Hughen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467172767 PECOS PAC ID: 6204212079 Enrollment ID: I20220930002404 |
Provider Name | Andrew D Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427782945 PECOS PAC ID: 3577949221 Enrollment ID: I20221003002779 |
Provider Name | Charles Vaughn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811421571 PECOS PAC ID: 7416327077 Enrollment ID: I20221223001197 |
Provider Name | Nicole Schladetsch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124701925 PECOS PAC ID: 4587019344 Enrollment ID: I20231013001883 |
Provider Name | Sydney Jew |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538764279 PECOS PAC ID: 0749693356 Enrollment ID: I20240408000219 |
Mailing Address | Practice Location Address |
---|---|
Pro Sport Physical Therapy, Llc 5125 Olympic Dr Ste 110, Gig Harbor, WA 98335-1712 Ph: (253) 853-4000 | Pro Sport Physical Therapy, Llc 5125 Olympic Dr Ste 110, Gig Harbor, WA 98335-1712 Ph: (253) 853-4000 |
Amber L Scouller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Point Fosdick Dr Ste 213, Gig Harbor, WA 98335 Phone: 253-851-5718 | |
George Jeffrey Hebel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Hollycroft St Ste 310, Gig Harbor, WA 98335 Phone: 253-649-5182 | |
Michael J Kubik, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 708 135th St Nw, Gig Harbor, WA 98332 Phone: 402-721-9662 | |
Dr. Alicia Ann Kain, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10550 Harbor Hill Dr, Gig Harbor, WA 98332 Phone: 253-649-5182 | |
Trina J. Leaf, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9107 73rd Avenue Ct Nw, Gig Harbor, WA 98332 Phone: 253-853-3987 | |
Amy Snell, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4411 Point Fosdick Dr Nw Ste 101, Gig Harbor, WA 98335 Phone: 253-851-7472 | |
Carolyn Christine Weiser Munday, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4700 Point Fosdick Dr # 318, Gig Harbor, WA 98335 Phone: 253-697-5200 Fax: 253-530-8311 |