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

Keagan Tice, PT

Individual provider Physical Therapist · NPI 1083265334

Keagan Tice, PT is a Physical Therapist in Private Practice in University Place, Washington. Qualified in 2019, 7 years ago. Practices with Prevail Practices PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7727 40th St W Ste A
University Place, WA 98466-3146
Phone: (253) 460-1362
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61001367 (WA)

Record details

NPI number1083265334
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 26, 2019
Mailing address6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828

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 Prevail Practices Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in University Place