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Pro-Active Sportsmed Pllc

Orthopedic Physical Therapist in Tumwater, WA · enumerated 2007 · authorized official Vince Gildner, Clinic Direcor.

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

National Provider Identifier

1861612335

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Registry record

Entity type Organization (Type 2)
Legal business name Pro-Active Sportsmed Pllc
Practice address 111 Tumwater Blvd Se Ste 113, Tumwater, WA, 98501
Phone (605) 283-3003
Fax (360) 528-8162
Enumeration date Apr 26, 2007
Last updated in NPPES Mar 14, 2025

Taxonomy & classification

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

Authorized official

Name Vince Gildner
Title Clinic Direcor
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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-03-14. Verify at npiregistry.cms.hhs.gov.
Where is Pro-Active Sportsmed Pllc located?
The practice location on file with NPPES is in Tumwater, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-14.