OrganizationActive
PT for Kids, LLC
NPI 1073892600 · Physical Therapist · Kennewick, WA
Provider details
- NPI number
- 1073892600
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Casey, Physical Therapist(509) 521-9080
- License
- PT00008575 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4206 W 24th Ave
B104
Kennewick, WA 99338-2321
Phone: (509) 521-9080
Fax: (866) 844-3735
Street-level locationGet directions
Mailing address
Po Box 366
Mesa, WA 99343-0366
Registry dates
- Enumerated
- 2011-08-13
- Last updated
- 2011-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.