Richard C. Wahlgren, M-PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00007229 Issued in WA

Practice address

122 3Rd St NE
Auburn, WA 98002-4013

Phone

(253) 833-7750

Fax

(253) 887-9804

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puyallup Valley Physical Therapy Inc PSGroup PAC ID 7517952914, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puyallup Valley Physical Therapy, Inc. P. S.

  • Orthopedic Physical Therapist
  • Puyallup, WA
  • NPI 1619060308
  Medicare reassignment Care Compare group NPD
• Cascade Surgery Associates, PLLC

  dba Auburn Neurological Institute

  • Specialist
  • Auburn, WA
  • NPI 1215985502
  NPD
• Cascade Surgery Associates, PLLC

  dba Cascade Orthopaedics

  • Specialist
  • Bonney Lake, WA
  • NPI 1558327601
  NPD
• Cascade Surgery Associates, PLLC

  dba Cascade Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Auburn, WA
  • NPI 1659337889
  NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1043298086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750",
            "fax_number": "253-887-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750",
            "fax_number": "253-887-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLGREN",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "credential": "M-PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00007229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5338WA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "GAB15557",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "135296",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VP Surgery Center of Auburn LLC
• Quang My Vu, PHARMACIST
• Barbie Jo Marie Wagner
• James Martin Wagner, M.D.
• Vicki Lynn Wagner
• Jeni L Wahlig, MS, LMFT
• Irene Waibara
• John Wainaina
• Jana Wakasugi, PT
• Wal-Mart Stores, Inc (Wal-Mart Vision Center 30-2385)

• Orthopedic Physical Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.