Bainbridge Island Physical Therapy, Llc in Bainbridge Island - Sports
Bainbridge Island Physical Therapy, Llc - NPI 1639219868
Bainbridge Island Physical Therapy, Llc is a Sports in Bainbridge Island, Washington. Bainbridge Island Physical Therapy, Llc practices all healthcare services and medical treatments related to Sports. The NPI Number for Bainbridge Island Physical Therapy, Llc is 1639219868. The last update date is 2020-12-28.
Bainbridge Island Physical Therapy, Llc's current location address is 563 Madison Ave N, Bainbridge Island, Washington. You can contact this provider via phone number 2068558455 and fax number 2068558465. The mailing address for Bainbridge Island Physical Therapy, Llc is 563 Madison Ave N, Bainbridge Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bainbridge Island Physical Therapy, Llc |
|---|---|
| Address | 563 Madison Ave N, Bainbridge Island, Washington |
| Phone Number | 2068558455 |
| Fax Number | 2068558465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ MAN |
|---|---|
| Authorized Official Name | Heinzelman Jennifer |
| Telephone Number | 2068558880 |
NPI Number Detail
| NPI Number | 1639219868 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-12-28 |
Provider Mailing Address Detail
| Address | 563 Madison Ave N |
|---|---|
| City | Bainbridge Island |
| State | Washington (WA) |
| Post Code | 981101768 |
| Phone Number | 2068558455 |
| Fax Number | 2068558465 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT00008747 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 184534 | WA | DEPT OF LABOR & INDUSTRY | |
| 7132533 | WA | -- | |
| 7375455 | WA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bainbridge Island Physical Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Bainbridge Island Physical Therapy, Llc has been assigned the NPI (National Provider Identifier) 1639219868 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bainbridge Island Physical Therapy, Llc's physical address?
The Bainbridge Island Physical Therapy, Llc is physically located at 563 Madison Ave N, in the city of Bainbridge Island, WA, with the postal code 981101768.
What is the Bainbridge Island Physical Therapy, Llc's area of specialization and corresponding taxonomy classification?
The Bainbridge Island Physical Therapy, Llc's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date was the 1639219868 assigned to Bainbridge Island Physical Therapy, Llc?
The Bainbridge Island Physical Therapy, Llc was issued its 1639219868 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bainbridge Island Physical Therapy, Llc most recently updated or refreshed?
The details pertaining to the Bainbridge Island Physical Therapy, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-12-28.