PENINSULA PEDIATRIC THERAPY LLC NPI 1588754386

NPI Information

  • NPI: 1588754386
  • Provider Name: PENINSULA PEDIATRIC THERAPY, LLC
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: PENINSULA PEDIATRIC THERAPY
  • Address: 6659 KIMBALL DR
    SUITE C 303
    GIG HARBOR, WA
    ZIP 98335
  • Phone: (253) 857-5437

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NPI Details

PENINSULA PEDIATRIC THERAPY, LLC is a pediatrics physical therapist in Gig Harbor, WA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PENINSULA PEDIATRIC THERAPY, LLC NPI is 1588754386. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peninsula Pediatric Therapy.

The provider's business location address is:

6659 KIMBALL DR
SUITE C 303
GIG HARBOR, WA
ZIP 98335-137
Phone: (253) 857-5437
Fax: (253) 857-5497

The provider's authorized official is Lawrence J Murray .
The authorized official title is Physical Therapist and has the following contact phone number (253) 857-5437.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsPT00003270WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17206729OTHERWASHINGTONAETNA
2MU7914OTHERWASHINGTONREGENCE BLUESHIELD
37025612MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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