Brent Proctor (NPI# 1386927010, PAC ID# 4183923113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1386927010 |
| PAC ID by PECOS | 4183923113 |
| Professional Enrollment ID | I20160426001486 |
| Full Name | Brent Proctor |
| Organization Legal Name | OLYMPIC SPORTS AND SPINE REHABILITATION PS |
| Address |
1901 S 72nd St Suite A 1 Tacoma WA 98408-1200 |
| Phone Number | 2534754870 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4688561509 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8011 112th St Ct E, Puyallup, WA 98373-7814 | 2538480662 | OLYMPIC SPORTS AND SPINE REHABILITATION PS |
| 1901 S 72nd St, Suite A 1, Tacoma, WA 98408-1200 | 2534754870 | OLYMPIC SPORTS AND SPINE REHABILITATION PS |
| 1901 S 72nd St, Tacoma, WA 98408-1200 | 2534754870 | OLYMPIC SPORTS AND SPINE REHABILITATION PS |
| Organization Legal Name | OLYMPIC SPORTS AND SPINE REHABILITATION PS |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela L Maxwell | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Chelsea Lura Lorenson | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 16222 Meridian E, Suite 101, Puyallup, WA 98375-6332 |
| Brian A Thacker | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| James K Haberstro | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 2727 Hollycroft St, Suite 310, Gig Harbor, WA 98335-1312 |
| Carolyn Sue Jorgensen | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 16222 Meridian E, Puyallup, WA 98375-6332 |
| Jill R Goodrich | Occupational Therapy | Olympic Sports and Spine Rehabilitation Ps | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
| Jillene M Lund | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 20220 Mountain Hwy E, Spanaway, WA 98387-1850 |
| Robert J Askins | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 8011 112th St Ct E, Puyallup, WA 98373-7814 |
| Jason Alexander Wright | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 16222 Meridian E, Suite 101, Puyallup, WA 98375-6332 |
| Street Address |
1901 S 72ND ST SUITE A 1 |
| City | TACOMA |
| State | WA |
| Zip | 98408-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kaftan | Undefined Non-physician Type (specify) | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Angela Ko | Occupational Therapy | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel D Vranna | Chiropractic | 1702 S 72nd St, Suite A, Tacoma, WA 98408-1238 | |
| Richard M Raymond | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Robert Chant | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Jeffrey Bernal Kahrs | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Kevin M Lyter | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Dean F Simmons | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Richard D Leone | Chiropractic | 1720 S 72nd St, Suite 201, Tacoma, WA 98408-1299 | |
| Vincent M Leone | Chiropractic | Richard D Leone Chiropractic Center, Inc., P.s. | 1720 S 72nd St, Suite 201, Tacoma, WA 98408-1299 |
| Randolph C Fish | Podiatry | 915 So 76th St, Tacoma, WA 98408-2908 | |
| Dana A Cocke | Optometry | 7813 Pacific Ave, Tacoma, WA 98408-7028 | |
| Find all physicians in zip 98408 | |||
| City | TACOMA |
| Zip Code | 98408 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TACOMA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.