NORTHWEST SPORTS PERFORMANCE
NPI 1356024228
Physical Therapist - Sports in Tacoma, WA

Active since August 08, 2023
819 PACIFIC AVE, TACOMA, WA 98402(253) 215-6100 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Sports Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST SPORTS PERFORMANCE (NPI 1356024228) is a healthcare organization registered as a sports in Tacoma, Washington and active in the NPI registry since August 2023. The organization lists Kevin Lee Vandenbosch, Manager, as its authorized official.

NPPES Registry Identity

NPI1356024228
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameNORTHWEST SPORTS PERFORMANCE
Location Address819 PACIFIC AVETacoma, WA 98402-5209
Mailing Address15916 93rd Ave EPuyallup, WA 98375-6718 · (206) 519-0135
Organization SubpartNo
Authorized OfficialKevin Lee VandenboschManager · (206) 519-0135
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
NPI 1356024228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedNutritionistTaxonomy 133N00000X
Also ListedMassage TherapistTaxonomy 225700000X
Also ListedNurse PractitionerTaxonomy 363L00000X
819 PACIFIC AVE, Tacoma, WA 98402

Other Identifiers 1

Other1770083826Physical Therapist Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Sports)
819 PACIFIC AVE
TACOMA, WA 98402
Physical Therapist
819 PACIFIC AVE
TACOMA, WA 98402
Physical Medicine & Rehabilitation (Sports Medicine)
819 PACIFIC AVE
TACOMA, WA 98402

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 Northwest Sports Performance's NPI number?

The NPI number for Northwest Sports Performance is 1356024228. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Northwest Sports Performance located?

Northwest Sports Performance is located at 819 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 215-6100.

What is Northwest Sports Performance's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Northwest Sports Performance was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.