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Proformance Physical Therapy, LLC

Proformance Physical Therapy, LLC is a healthcare organization registered as Physical Therapist in Pullman, WA, holding Type 2 (organization) NPI 1720012065 since 2006. The authorized official on file is Robert Bashaw, Owner.

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NPI 1720012065
Entity type Organization (Type 2)
Legal business name Proformance Physical Therapy, LLC
Practice address 840 SE BISHOP BLVD, SUITE 200, Pullman, WA, 99163
Phone 5093389204
Enumeration date 2006-07-11
Last updated in NPPES 2020-08-22

Authorized official

Name Robert Bashaw
Title Owner
Phone 5093389204

Taxonomy & classification

Taxonomy code Specialty Primary License State
225100000X Physical Therapist Primary

Other identifiers

Identifier Type State Issuer
7127467 Medicaid WA
0195909 Other WA DEPT. OF LABOR & INDUSTRY
Copy-ready billing details
Provider: Proformance Physical Therapy, LLC
NPI: 1720012065
Taxonomy: 225100000X (Physical Therapist)
Address: 840 SE BISHOP BLVD, SUITE 200, Pullman, WA, 99163

Providers at this address

NPI Name Type Specialty Location
1598795486 Alan Unis Individual Psychiatry Physician Pullman, WA
1336173681 Troy Vannucci Individual Physical Therapist Pullman, WA
1104844265 Laura Vannucci Individual Physical Therapist Pullman, WA
1457379513 Robert Bashaw Individual Physical Therapist Pullman, WA
1346431863 Brandon Cridlebaugh Individual Physical Therapist Pullman, WA
1528399672 Palouse Psychiatry and Behavioral Health Organization Psychiatry Physician Pullman, WA
1528463825 Jack Chiang Individual General Practice Dentistry Pullman, WA

Verify this record

Cross-check NPI 1720012065 against the authoritative CMS record: view Proformance Physical Therapy, LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Proformance Physical Therapy, LLC located?
The practice location on file with NPPES is in Pullman, WA.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.