Bainbridge Island Physical Therapy, LLC
NPI 1639219868ActiveOrganization· Physical Therapist· Bainbridge Island, WA
Physical Therapist in Bainbridge Island, Washington, registered in NPPES in February 2007. The authorized official on file is Jennifer Heinzelman, Owner/ Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639219868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2007 |
| Last updated in NPPES | Dec 28, 2020 |
| Certified by provider | Dec 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00008747 | WA |
| Physical Therapist | 225100000X | PT00007979 | WA |
| Physical Therapist, Cardiopulmonary | 2251C2600X | PT00007979 | WA |
| Physical Therapist, Ergonomics | 2251E1200X | PT00007979 | WA |
| Physical Therapist, Geriatrics | 2251G0304X | PT00007979 | WA |
| Physical Therapist, Hand | 2251H1200X | PT00008747 | WA |
| Physical Therapist, Sports | 2251S0007X | PT00008747 | WA |
| Physical Therapist, Sports | 2251S0007X | PT00007979 | WA |
| Physical Therapist, Orthopedic | 2251X0800X | PT00008747 | WA |
| Physical Therapist, Orthopedic | 2251X0800X | PT00007979 | WA |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other Physical Therapist providers in Bainbridge Island
- 1457378176
- 1346276102
- 1578237517
- 1538823455
- 1700803426
- 1174540892
- 1578518668
- 1255025714
- 1700423084
- 1033897962
- 1376428847
- 1871533596