OrganizationActive
Therapy Management Services, PLLC
NPI 1689224982 · Physical Therapist · Bonney Lake, WA
Provider details
- NPI number
- 1689224982
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Dwan Ayala, Credentialing Coordinator(425) 450-9474
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
21525 State Route 410 E Ste B
Bonney Lake, WA 98391-4101
Phone: (253) 826-8520
Fax: (253) 826-8522
Street-level locationGet directions
Mailing address
915 118th Ave Se Ste 110
Bellevue, WA 98005-3875
Other names (DBA / former)
- Doing business as
- Performance Physical Therapy
- Doing business as
- Performance Physical Therapy - Bonney Lake
- Doing business as
- Performance Physical Therapy - Enumclaw
Additional practice locations (2)
- 2726 Griffin Ave Ste CEnumclaw, WA 98022-2362Phone: (360) 802-6757Fax: (360) 802-6756
- 3021 Griffin AveEnumclaw, WA 98022-2369Phone: (360) 802-6757Fax: (360) 802-6756
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2019-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.