PROFORMANCE PHYSICAL THERAPY, LLC
NPI 1720012065
Physical Therapist in Pullman, WA

Active since July 11, 2006
840 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163(509) 338-9204 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Proformance Physical Therapy, Llc NPPES

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

PROFORMANCE PHYSICAL THERAPY, LLC (NPI 1720012065) is a healthcare organization registered as a physical therapist in Pullman, Washington and active in the NPI registry since July 2006. The organization lists Robert Timothy Bashaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1720012065
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROFORMANCE PHYSICAL THERAPY, LLC
Location Address840 SE BISHOP BLVD, SUITE 200Pullman, WA 99163-5502
Mailing Address840 Se Bishop Blvd, Suite 200Pullman, WA 99163-5502 · (509) 338-9204
Organization SubpartNo
Authorized OfficialRobert Timothy BashawOwner · (509) 338-9204
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720012065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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.
840 SE BISHOP BLVD, Pullman, WA 99163

Other Identifiers 2

Other0195909WA · Dept. Of Labor & Industry
Medicaid7127467WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Proformance Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Proformance Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1033372677
1620 SE SUMMIT CT
Pullman, WA 99163
(509) 332-5106
✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1346431863
840 SE BISHOP BLVD SUITE 200
Pullman, WA 99163
(509) 338-9204
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1104844265
840 SE BISHOP BLVD SUITE 200
Pullman, WA 99163
(509) 338-9204
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1336173681
840 SE BISHOP BLVD SUITE 200
Pullman, WA 99163
(509) 338-9204
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1568879096
1225 S GRAND AVE STE B
Pullman, WA 99163
(714) 369-5706
✔ Accepts Medicare1.7 mi

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 Proformance Physical Therapy, LLC's NPI number?

The NPI number for Proformance Physical Therapy, LLC is 1720012065. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Proformance Physical Therapy, LLC located?

Proformance Physical Therapy, LLC is located at 840 SE Bishop Blvd Suite 200, Pullman, WA 99163. The listed phone number is (509) 338-9204.

What is Proformance Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Proformance Physical Therapy, LLC enrolled in Medicare?

Yes. Proformance Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proformance Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Proformance Physical Therapy, LLC. 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. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Proformance Physical Therapy, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Proformance Physical Therapy, LLC 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 Proformance Physical Therapy, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.