Active NPI
Terrald S. Kadrmas, M.S., P.T.
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1063405983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007006
- Practice address
- 4421 NE St Johns Rd
Vancouver, WA 98661-2573 - Phone
- (360) 694-9099
- Fax
- (360) 695-6638
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007006 | WA | Primary |
Addresses
Primary practice location
4421 NE St Johns Rd
Vancouver, WA 98661-2573
Mailing address
4421 NE St Johns Rd
Vancouver, WA 98661-2573
Phone (360) 694-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1063405983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NE ST JOHNS RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612573",
"telephone_number": "360-694-9099",
"fax_number": "360-695-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 NE ST JOHNS RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612573",
"telephone_number": "360-694-9099",
"fax_number": "360-695-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADRMAS",
"first_name": "TERRALD",
"middle_name": "S.",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.