LONGVIEW PHYSICAL AND SPORTS THERAPY SERVICES PS
NPI 1184835100
Physical Therapist in Longview, WA
About Longview Physical And Sports Therapy Services Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGVIEW PHYSICAL AND SPORTS THERAPY SERVICES PS (NPI 1184835100) is a healthcare organization registered as a physical therapist in Longview, Washington and active in the NPI registry since May 2007. The organization lists Bruce E Peterson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longview Physical And Sports Therapy Services Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Longview Physical And Sports Therapy Services Ps, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Longview Physical And Sports Therapy Services Ps's NPI number?
The NPI number for Longview Physical And Sports Therapy Services Ps is 1184835100. It was assigned to this organization in the NPPES registry on May 24, 2007.
Where is Longview Physical And Sports Therapy Services Ps located?
Longview Physical And Sports Therapy Services Ps is located at 625 9th Avenue Suite 220, Longview, WA 98632. The listed phone number is (360) 578-1188.
What is Longview Physical And Sports Therapy Services Ps's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Longview Physical And Sports Therapy Services Ps enrolled in Medicare?
Yes. Longview Physical And Sports Therapy Services Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longview Physical And Sports Therapy Services Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Longview Physical And Sports Therapy Services Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (10) and Occupational Therapist in Private Practice (2). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Longview Physical And Sports Therapy Services Ps accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Longview Physical And Sports Therapy Services Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Longview Physical And Sports Therapy Services Ps was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Longview Physical And Sports Therapy Services Ps · NPI 1184835100
Physical Therapist organization in Longview, Washington. Organization record, active in the CMS NPPES registry since May 24, 2007.
## Identity
- **NPI:** 1184835100 (Entity type: Organization)
- **Enumerated:** May 24, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Bruce Peterson, OWNER
## Practice location
- **Address:** 625 9TH AVENUE, SUITE 220, Longview, WA 98632
- **Phone:** (360) 578-1188 · **Fax:** (360) 578-6251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (10), Occupational Therapist in Private Practice (2); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1184835100) · Data from the CMS NPPES public registry.