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

Alec Christopher Kirk

Individual provider Physical Therapist · NPI 1164058582

Alec Christopher Kirk is a Physical Therapist in Private Practice in Tumwater, Washington. Qualified in 2019, 7 years ago. Practices with Pro-Active Sportsmed PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone: (360) 528-3300
Fax: (360) 528-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61029014 (WA)

Record details

NPI number1164058582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 17, 2020
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pro-Active Sportsmed Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tumwater