PACIFIC NORTHWEST PHYSICAL THERAPY
NPI 1619215407
Physical Therapist in Crescent City, CA

Active since January 29, 2013
200 US HIGHWAY 101 N, CRESCENT CITY, CA 95531(707) 464-9511 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist

About PACIFIC NORTHWEST PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Pacific Northwest Physical Therapy, a provider established in Crescent City, California operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1619215407 assigned on January 2013. The practitioner's primary taxonomy code is 225100000X with license number PT 23616 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brad Kime P.t. (Owner)

NPI
1619215407 Verify this NPI
Provider Name
PACIFIC NORTHWEST PHYSICAL THERAPY
Entity Type
Organization
Location Address
200 US HIGHWAY 101 N CRESCENT CITY, CA 95531
Location Phone
(707) 464-9511
Mailing Address
200 US HIGHWAY 101 N CRESCENT CITY, CA 95531
Mailing Phone
(707) 464-9511
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2013
Last Update Date
01-29-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT 23616
License State
CA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRAD KIME P.T.

Authorized Official Title
OWNER
Authorized Official Phone
(707) 464-9511

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619215407, enumerated as an "organization" on January 29, 2013.

The provider is located at 200 US HIGHWAY 101 N CRESCENT CITY, CA 95531 and the phone number is (707) 464-9511.

Physical Therapist with taxonomy code 225100000X.