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

Individual provider Physical Therapist · NPI 1396746418

Vince A Gildner Jr., PT is a Physical Therapist in Private Practice in Tumwater, Washington. Qualified in 1999, 27 years ago. Practices with Pro-Active Sportsmed PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6400
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 602183250 (WA)

Record details

NPI number1396746418
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESSeptember 12, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Pro-Active Sportsmed Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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