MVP PHYSICAL THERAPY, INC. (NPI# 1902039183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902039183 |
| Entity Type | Organization |
| Organization Name | MVP PHYSICAL THERAPY, INC. |
| Other Organization Name | SPORTSMED PHYSICAL THERAPY |
| Practice Address |
463 Tremont St. W. Suite 130 Port Orchard WA 98366 |
| Mailing Address |
4040 Orchard St. W. Suite 100 Fircrest WA 98466 |
| Practice Telephone | 3608767129 |
| Practice Fax Number | 3608762914 |
| Mailing Telephone | 2535641560 |
| Mailing Fax Number | 2535644449 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | PATRICK GARLOCK (CEO/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2535641560 |
| Authorized Official Credential | DSC, MHS, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7082225 | 05 |
| Other Name | Type Code |
|---|---|
| SportsMed Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811155930 | Mvp Physical Therapy, Inc. | Massage Therapist | 502 54th Ave. E., Fife, WA 98424 | 2008-05-27 |
| 1235290917 | Mvp Physical Therapy, Inc. | Physical Therapist | 5801 Soundview Dr. Nw, Suite 204, Gig Harbor, WA 98335 | 2006-12-13 |
| 1639272933 | Mvp Physical Therapy, Inc. | Massage Therapist | 4040 Orchard St. W., Suite 100, Fircrest, WA 98466 | 2006-09-06 |
| 1376597013 | Mvp Physical Therapy, Inc. | Physical Therapist | 5814 Graham Ave., Suite 101, Sumner, WA 98390 | 2006-05-19 |
| 1285688929 | Mvp Physical Therapy, Inc. | Massage Therapist | 8645 Martin Way E., Suite 103, Lacey, WA 98516 | 2006-05-19 |
| 1265486906 | Mvp Physical Therapy, Inc. | Physical Therapist | 1550 South Union Ave., Suite 130, Tacoma, WA 98405 | 2006-05-19 |
| 1841258373 | Mvp Physical Therapy, Inc. | Massage Therapist | 732 Lebo Blvd, Bremerton, WA 98310 | 2006-05-03 |
| 1861450173 | Mvp Physical Therapy, Inc. | Occupational Therapist | 34617 11th Place S., Suite 201, Federal Way, WA 98003 | 2006-05-03 |
| 1376501643 | Mvp Physical Therapy, Inc. | Physical Therapist | 451 Sw Sedgwick Rd., Suite 310, Port Orchard, WA 98367 | 2006-05-03 |
| 1790743003 | Mvp Physical Therapy, Inc. | Massage Therapist | 14207 Meridian E Ste A, Puyallup, WA 98373 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MVP PHYSICAL THERAPY, INC. | 4040 Orchard St W, Ste 100, Fircrest, WA 98466-6610 |
| Street Address |
463 TREMONT ST. W. SUITE 130 |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760888564 | Victoria Lucas | Physical Therapist | 4171 Sw Stanwick Way, Port Orchard, WA 98367-8805 | 2014-11-06 |
| 1033453121 | Christopher Jonathan Neal | Physical Therapist | 451 Sw Sedgwick Rd Ste 310, Port Orchard, WA 98367-6447 | 2012-11-15 |
| 1467768036 | Jennifer Ann Newcomer | Physical Therapist | 519 Sidney Ave, Port Orchard, WA 98366-4542 | 2010-08-20 |
| 1881834448 | Sportsmed Physical Therapy, Inc., P.s. | Physical Therapist | 463 Tremont Street W., Suite 102, Port Orchard, WA 98366-0000 | 2009-02-23 |
| 1720103377 | Jerline R Carey | Physical Therapist | 4459semile Hill Dr, Port Orchard, WA 98366-3908 | 2007-03-20 |
| 1194861088 | Melissa Authier Mercogliano | Physical Therapist | 463 Tremont St West, Suite 100, Port Orchard, WA 98366-3521 | 2007-01-29 |
| 1710070362 | Melissa Mercogliano, Pt, Ps | Physical Therapist | 463 Tremont Street West, Ste 100, Port Orchard, WA 98366 | 2006-10-02 |
| 1144272980 | Judy Marie Adams | Physical Therapist | 1880 Pottery Ave Ste 100, Kitsap Physical Therapy, Port Orchard, WA 98366 | 2006-05-17 |
| 1437108453 | Jeanne Lynn Demeulenaere | Physical Therapist | 451 Sw Sedgwick Rd, Suite 310, Port Orchard, WA 98367-6425 | 2006-05-08 |
| 1710945233 | Scott B. Maw | Physical Therapist | 463 Tremont St W, Suite 103, Port Orchard, WA 98366-3743 | 2006-05-03 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.