Organization Active NPI

Yelm Physical Therapy, PLLC

  • Physical Therapist
  • Yelm, WA
National Provider Identifier
1023389764
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007854 Issued in WA
Legal business name
YELM PHYSICAL THERAPY, PLLC
Doing business as
Yelm Physical Therapy
Practice address
514 W Yelm Ave
Yelm, WA 98597-7679
Phone
(360) 458-2444
Fax
(360) 458-2747
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Mr. Sean S Sipe, MPT SCS
Title
President
Phone
(360) 951-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00007854 WA Primary

Addresses

Primary practice location

514 W Yelm Ave
Yelm, WA 98597-7679

Mailing address

514 W Yelm Ave
Yelm, WA 98597-7679
Phone (360) 458-2444

Other names 1

  • Yelm Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4631 Whitman Ln SE
Ste D
Lacey, WA 98513
Phone (360) 338-0181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1023389764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W YELM AVE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977679",
            "telephone_number": "360-458-2444",
            "fax_number": "360-458-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W YELM AVE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977679",
            "telephone_number": "360-458-2444",
            "fax_number": "360-458-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELM PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-951-0754",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yelm Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.