NORTHWEST SPORTS PERFORMANCE – Sports Physical Therapist, NPI 1356024228

NORTHWEST SPORTS PERFORMANCE is a healthcare provider. based in Puyallup, Washington. specializing in Sports Physical Therapist. The NPI Number for NORTHWEST SPORTS PERFORMANCE is 1356024228

Main info

Organization
Name
NORTHWEST SPORTS PERFORMANCE
NPI
1356024228
Phone
(206) 519-0135
Address
15916 93RD AVE E
Authorized Official
MR. KEVIN LEE VANDENBOSCH MANAGER
Enumeration Date
8 August 2023
Last Update Date
8 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for NORTHWEST SPORTS PERFORMANCE

  • 15916 93RD AVE E

    PUYALLUP, WA 983756718

    Phone: (206) 519-0135

    Type: Mailing

  • 819 PACIFIC AVE

    TACOMA, WA 984025209

    Phone: (253) 215-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98375)

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Reviews

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Frequently asked questions

What unique ID ties claims to NORTHWEST SPORTS PERFORMANCE?
NPI 1356024228 is assigned to NORTHWEST SPORTS PERFORMANCE under the national enumeration system.
Is NORTHWEST SPORTS PERFORMANCE's NPI currently valid?
The extract we use shows NORTHWEST SPORTS PERFORMANCE as active.
What field does NORTHWEST SPORTS PERFORMANCE work in?
You can think of NORTHWEST SPORTS PERFORMANCE as practicing within Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place NORTHWEST SPORTS PERFORMANCE?
The snapshot lists Puyallup, Washington for NORTHWEST SPORTS PERFORMANCE; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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