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Pro-Active Sportsmed Pllc

Orthopedic Physical Therapist in Tumwater, WA · enumerated 2007 · authorized official Mieka Eisen, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538380639

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Registry record

Entity type Organization (Type 2)
Legal business name Pro-Active Sportsmed Pllc
Other name <Unavail>
Practice address 111 Tumwater Blvd Se Ste 113, Tumwater, WA, 98501
Phone (360) 528-3300
Fax (360) 528-8162
Enumeration date May 2, 2007
Last updated in NPPES Mar 12, 2025

Taxonomy & classification

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Mieka Eisen
Title Business Manager
Phone (360) 528-3300

Other identifiers

Identifier Type State Issuer
7112923 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pro-Active Sportsmed Pllc?
NPPES lists Mieka Eisen (Business Manager) as the authorized official for this organization.
What is the NPI number for Pro-Active Sportsmed Pllc?
The NPI for Pro-Active Sportsmed Pllc is 1538380639, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-12.