Puget Sound Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PUGET SOUND PHYSICAL THERAPY LLC

Doing business as

Puget Sound Physical Therapy

Practice address

3201 Willamette Dr NE
Suite C
Lacey, WA 98516-1376

Phone

(321) 401-1361

Fax

(407) 390-1765

NPI assigned

Mar 21, 2016

Last updated

Apr 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Dickerson, DPT

Title

Owner

Phone

(360) 438-4200

Specialties & licenses 1

Addresses

Other names 1

• Puget Sound Physical Therapy Doing business as

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1033571989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILLAMETTE DR NE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161376",
            "telephone_number": "321-401-1361",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILLAMETTE DR NE",
            "address_2": "SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161376",
            "telephone_number": "321-401-1361",
            "fax_number": "407-390-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-438-4200",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health & Services Washington
• Providence Health & Services Washington
• Providence Health & Services Washington (Providence SoundHomeCare and Hospice)
• Brooke Pruitt, LMHC
• PT Northwest of Longview, Inc (Capitol Physical Therapy)
• Donna Quach
• Qualified Surgical Services PLLC (QSS Washington)
• Riley Elizabeth Quezada, MS CCC-SLP
• Morgan Quigley
• Amber Christine Quinton, LMT

• Physical Therapy Clinic/Center in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.