Organization
BAINBRIDGE ISLAND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEINZELMAN (OWNER/ MANAGER)
(206) 855-8880
Entity
Organization
Contact information
Practice address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Mailing address
563 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1768
(206) 855-8455
(206) 855-8465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007979
WA
225100000X
Physical Therapist
Primary
PT00008747
WA
2251C2600X
Cardiopulmonary Physical Therapist
PT00007979
WA
2251E1200X
Ergonomics Physical Therapist
PT00007979
WA
2251G0304X
Geriatric Physical Therapist
PT00007979
WA
2251H1200X
Hand Physical Therapist
PT00008747
WA
2251S0007X
Sports Physical Therapist
PT00007979
WA
2251S0007X
Sports Physical Therapist
PT00008747
WA
2251X0800X
Orthopedic Physical Therapist
PT00007979
WA
2251X0800X
Orthopedic Physical Therapist
PT00008747
WA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184534
DEPT OF LABOR & INDUSTRY
WA
05
—
7132533
—
WA
01
—
7375455
AETNA
WA
Enumeration date
02/07/2007
Last updated
12/28/2020
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