Organization Active NPI

Progression Physical Therapy, PLLC

  • Physical Therapist
  • Tukwila, WA
National Provider Identifier
1063176188
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSION PHYSICAL THERAPY, PLLC
Practice address
406 Baker Blvd Ste 130
Tukwila, WA 98188-2972
Phone
(206) 420-3816
Fax
(206) 492-2228
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Byron-Noel Valdez SungaNPI 1174955785
Title
Doctor of Physical Therapy
Phone
(206) 420-3816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

406 Baker Blvd Ste 130
Tukwila, WA 98188-2972

Mailing address

406 Baker Blvd Ste 130
Tukwila, WA 98188-2972
Phone (206) 420-3816

Other names 1

  • Progression Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815002919 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628451242 Receives reassigned benefits from 1 practitioner
Practice locations: Tukwila, WA

National Provider Directory

National Provider Directory

Locations

406 Baker Blvd
Ste 130
Tukwila, WA 98188
Phone (206) 420-3816

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1063176188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BAKER BLVD STE 130",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882972",
            "telephone_number": "206-420-3816",
            "fax_number": "206-492-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BAKER BLVD STE 130",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882972",
            "telephone_number": "206-420-3816",
            "fax_number": "206-492-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "BYRON-NOEL",
        "authorized_official_middle_name": "VALDEZ",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "206-420-3816",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progression Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.