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

Pro-Active Sportsmed PLLC

Organization Orthopedic Physical Therapist · NPI 1538380639

Pro-Active Sportsmed PLLC is an Orthopedic Physical Therapist in Tumwater, Washington. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone: (360) 528-3300
Fax: (360) 528-8162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1538380639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mieka Eisen — Business Manager · (360) 528-3300
Other names Vince A Gildener
NPI enumeratedMay 2, 2007
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422

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