Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Podium Physical Therapy & Performance Training PLLC

Organization Physical Therapist · NPI 1417542820

Podium Physical Therapy & Performance Training PLLC is a Physical Therapist in Moses Lake, Washington. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6708 NE College Pkwy
Moses Lake, WA 98837
Phone: (509) 707-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9324 Albert Way Se, Moses Lake, WA 98837-9053 — (509) 707-8085

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417542820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Carpenter — Owner · (509) 707-8085
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateFebruary 16, 2021
Mailing address9324 Albert Way Se, Moses Lake, WA 98837-9053

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