| Summit Physical Therapy, Inc. | |
|
830 N Columbia Center Blvd, Suite D, Kennewick, WA 99336-7800 | |
| (509) 783-3444 | |
| (509) 735-7711 |
| Full Name | Summit Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 830 N Columbia Center Blvd, Kennewick, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831191832 | NPI | - | NPPES |
| 7055056 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00003811 (Washington) | Primary |
| Provider Name | Phillip G Drussel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114961414 PECOS PAC ID: 7315830288 Enrollment ID: I20040204000821 |
| Provider Name | Mallory Matteo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205213451 PECOS PAC ID: 0749578128 Enrollment ID: I20190925001367 |
| Provider Name | Sarah Kathleen Bass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639713480 PECOS PAC ID: 4688007305 Enrollment ID: I20191210001666 |
| Provider Name | Kyle A Bonin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912303397 PECOS PAC ID: 3476862756 Enrollment ID: I20201006000550 |
| Provider Name | Kristine Vaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508479130 PECOS PAC ID: 8022487537 Enrollment ID: I20221205003245 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Physical Therapy, Inc. 830 N Columbia Center Blvd, Suite D, Kennewick, WA 99336-7800 Ph: (509) 783-3444 | Summit Physical Therapy, Inc. 830 N Columbia Center Blvd, Suite D, Kennewick, WA 99336-7800 Ph: (509) 783-3444 |
Terry Kelly Shultz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1706 W 30th Ave, Kennewick, WA 99337 Phone: 509-582-0789 | |
Jamie L Geris, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2839 W Kennewick Ave # 550, Kennewick, WA 99336 Phone: 509-783-8977 Fax: 509-783-6151 | |
Randelle K Fuller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 W 10th Ave, Kennewick, WA 99336 Phone: 509-582-6335 Fax: 509-582-6375 | |
Ryan Mckinney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 S. Williams Pl., Ste 110, Kennewick, WA 99338 Phone: 509-946-1654 Fax: 509-943-5652 | |
Chad Blankenship, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8819 W Victoria Ave Ste 110, Kennewick, WA 99336 Phone: 509-783-1851 | |
Dr. Jason L Hanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 191 Reata Rd, Kennewick, WA 99338 Phone: 509-579-8812 | |
Justin William Bingman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-7000 |