Northwest Sports Physical Therapy – Physical Therapist, NPI 1982755070
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Northwest Sports Physical Therapy
910 NE Tenney Rd Ste 103
Vancouver, WA 986852838
Phone: (564) 888-4690
Fax: (564) 888-4694
Type: Location
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 238-7217
Fax: (423) 238-3473
Type: Mailing
1445 NW Mall St Ste 1
Issaquah, WA 980277900
Phone: (425) 391-9211
Fax: (425) 391-9545
Type: Location
28002 Highway 410 E
Buckley, WA 983217516
Phone: (253) 444-9003
Type: Location
1908 George Washington Way
Richland, WA 993542386
Phone: (509) 375-1015
Fax: (509) 375-1381
Type: Location
1127 S 2nd Ave Ste B
Walla Walla, WA 993624118
Phone: (509) 204-2400
Fax: (509) 396-0324
Type: Location
4550 Klahanie Dr SE
Sammamish, WA 980295812
Phone: (425) 391-2427
Fax: (425) 392-4098
Type: Location
505 S 336th St Ste 140
Federal Way, WA 980035946
Phone: (253) 874-6621
Fax: (253) 874-2542
Type: Location
9514 Gravelly Lake Dr SW Ste W18
Lakewood, WA 984991514
Phone: (253) 433-7140
Fax: (253) 433-7190
Type: Location
155 NE 192nd Ave Ste 109
Camas, WA 986077477
Phone: (360) 836-1977
Fax: (360) 999-5649
Type: Location
1918 Belmont Loop Ste B
Woodland, WA 986748494
Phone: (360) 543-7315
Fax: (360) 543-7325
Type: Location
2412 W Nob Hill Blvd Ste 102
Yakima, WA 989025181
Phone: (509) 509-2882
Fax: (509) 509-2884
Type: Location
6825 Burden Blvd Ste D
Pasco, WA 993015633
Phone: (509) 545-1010
Fax: (509) 545-1112
Type: Location
4303 W 24th Ave # B
Kennewick, WA 993381963
Phone: (509) 572-3836
Fax: (509) 396-3133
Type: Location
732 Lebo Blvd
Bremerton, WA 983103325
Phone: (360) 627-8041
Fax: (360) 627-9495
Type: Location
1020 Queensgate Dr
Richland, WA 993529123
Phone: (509) 578-5100
Fax: (509) 491-3318
Type: Location
101, Point Fosdick Drive Northwest, Gig Harbor, Pierce County, Washington, 98335, United States
GIG HARBOR, WA 983351703
Phone: (253) 851-7472
Fax: (253) 851-7473
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150728005642 | O | Physical/Occupational Therapy Group In Private Practice | WA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 98685)
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