Performance Sports and Spine Physical Therapy Ps
NPI 1093957292 · Physical Therapist · Bonney Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Performance Sports and Spine Physical Therapy Ps is a Physical Therapist organization in Bonney Lake, WA (NPI 1093957292).
Provider details
- NPI number
- 1093957292
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Bobby Ismail, President(209) 353-1988
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Performance Sports and Spine Physical Therapy Ps's NPI number?
- Performance Sports and Spine Physical Therapy Ps's National Provider Identifier (NPI) is 1093957292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Performance Sports and Spine Physical Therapy Ps?
- Performance Sports and Spine Physical Therapy Ps is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Performance Sports and Spine Physical Therapy Ps located?
- Performance Sports and Spine Physical Therapy Ps's practice location on file with NPPES is 21525 Hwy 410 E, Bonney Lake, WA 98391-4101.
- What is Performance Sports and Spine Physical Therapy Ps's phone number?
- The practice phone number listed in the NPPES registry for Performance Sports and Spine Physical Therapy Ps is (253) 826-8520.
- Does Performance Sports and Spine Physical Therapy Ps accept Medicare?
- Performance Sports and Spine Physical Therapy Ps is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Performance Sports and Spine Physical Therapy Ps?
- The authorized official listed on Performance Sports and Spine Physical Therapy Ps's NPPES record is Bobby Ismail, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Performance Sports and Spine Physical Therapy Ps's NPI active?
- Yes — Performance Sports and Spine Physical Therapy Ps's NPI (1093957292) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.