Pro-Active Sportsmed PLLC
NPI 1861612335 · Orthopedic Physical Therapist · Tumwater, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro-Active Sportsmed PLLC is a Orthopedic Physical Therapist organization in Tumwater, WA (NPI 1861612335).
Provider details
- NPI number
- 1861612335
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Vince Gildner, Clinic Direcor(360) 528-3300
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
19 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
- 2007-04-26
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Pro-Active Sportsmed PLLC's NPI number?
- Pro-Active Sportsmed PLLC's National Provider Identifier (NPI) is 1861612335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro-Active Sportsmed PLLC?
- Pro-Active Sportsmed PLLC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pro-Active Sportsmed PLLC located?
- Pro-Active Sportsmed PLLC's practice location on file with NPPES is 111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422.
- What is Pro-Active Sportsmed PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pro-Active Sportsmed PLLC is (605) 283-3003.
- Does Pro-Active Sportsmed PLLC accept Medicare?
- Pro-Active Sportsmed PLLC 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 Pro-Active Sportsmed PLLC?
- The authorized official listed on Pro-Active Sportsmed PLLC's NPPES record is Vince Gildner, Clinic Direcor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro-Active Sportsmed PLLC's NPI active?
- Yes — Pro-Active Sportsmed PLLC's NPI (1861612335) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.