Organization Active NPI

Plateau Rehab Services

  • Physical Therapist
  • Enumclaw, WA
National Provider Identifier
1013128818
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007761 Issued in WA
Legal business name
PLATEAU REHAB SERVICES
Practice address
1427 Jefferson Ave
Suite B1
Enumclaw, WA 98022-3649
Phone
(360) 802-0244
NPI assigned
May 24, 2007
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katey Lent, PTNPI 1841396314
Title
Owner
Phone
(253) 261-1898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007761 WA Primary

Addresses

Primary practice location

1427 Jefferson Ave
Suite B1
Enumclaw, WA 98022-3649

Mailing address

28700 SE 462ND PL
Enumclaw, WA 98022-9318

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1013128818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 SE 462ND PL",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE B1",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "LENT",
        "authorized_official_first_name": "KATEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-261-1898",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.