PRO-ACTIVE SPORTSMED PLLC
PRO-ACTIVE SPORTSMED PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1861612335, based in Tumwater, WA. It is classified under Orthopedic Physical Therapist.
Getting there
The practice address on file is 111 TUMWATER BLVD SE STE 113, Tumwater, WA 98501. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2062303969
- Enrollment ID
- O20040322000725
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. NUCC Health Care Provider Taxonomy, code 2251X0800X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1861612335 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 26, 2007 |
| Last updated | Mar 14, 2025 |
| Status | Active |
| Practice address |
111 TUMWATER BLVD SE STE 113 Tumwater, WA 98501 (605) 283-3003 Fax (360) 528-8162 |
| Mailing address |
4200 6TH AVE SE STE 203 Lacey, WA 98503 |
| Other identifiers |
7112923
· Medicaid (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 6 | 1 | 2 | 3 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 3 | 1 | 4 | 3 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.