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PRO-ACTIVE SPORTSMED PLLC
NPI 1861612335
Physical Therapist - Orthopedic in Tumwater, WA

Active since April 26, 2007
111 TUMWATER BLVD SE STE 113, TUMWATER, WA 98501(605) 283-3003(360) 528-8162 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pro-active Sportsmed Pllc NPPES

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

PRO-ACTIVE SPORTSMED PLLC (NPI 1861612335) is a healthcare organization registered as an orthopedic in Tumwater, Washington and active in the NPI registry since April 2007. The organization lists Vince A Gildner, Clinic Direcor, as its authorized official.

NPPES Registry Identity

NPI1861612335
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePRO-ACTIVE SPORTSMED PLLC
Location Address111 TUMWATER BLVD SE STE 113Tumwater, WA 98501-6422
Mailing Address4200 6th Ave Se Ste 203Lacey, WA 98503-1042 · (360) 455-4448 · Fax (360) 455-9833
Phone(605) 283-3003
Fax(360) 528-8162
Organization SubpartNo
Authorized OfficialVince A GildnerClinic Direcor · (360) 528-3300
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1861612335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
111 TUMWATER BLVD SE STE 113, Tumwater, WA 98501
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Other Identifiers 1

Medicaid7112923WA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 6

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

MEGAN EDITH HOLBROOK PT
Physical Therapist
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300
ALEC CHRISTOPHER KIRK
Physical Therapist
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300
ERIN RHONDA COLLINS DPT
Physical Therapist
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300
BRITANIE LINING
Physical Therapist
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300
PRO-ACTIVE SPORTSMED PLLC
Physical Therapist (Orthopedic)
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300
NICOLE CATHLEEN FERNANDEZ DPT
Physical Therapist
111 TUMWATER BLVD SE STE 113
TUMWATER, WA 98501
Thurston County (360) 528-3300

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 Pro-Active Sportsmed PLLC's NPI number?

The NPI number for Pro-Active Sportsmed PLLC is 1861612335. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Pro-Active Sportsmed PLLC located?

Pro-Active Sportsmed PLLC is located at 111 Tumwater Blvd SE Ste 113, Tumwater, WA 98501. The listed phone number is (605) 283-3003.

What is Pro-Active Sportsmed PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

What insurance does Pro-Active Sportsmed PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pro-Active Sportsmed PLLC 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 Pro-Active Sportsmed PLLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.