NPIMap

Organization Active NPI

Physiostrength LLC

Doing business as PhysioStrength Physical Therapy

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1073025490
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOSTRENGTH LLC
Doing business as
PhysioStrength Physical Therapy
Practice address
2909 S 12TH St
Tacoma, WA 98405-2540
Phone
(253) 722-9788
Fax
(253) 778-6992
NPI assigned
Oct 25, 2017
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Dr. Connor Lavann Naccarato, DPTNPI 1780138263
Title
Owner
Phone
(253) 336-2040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2909 S 12TH St
Tacoma, WA 98405-2540

Mailing address

2909 S 12TH St
Tacoma, WA 98405-2540
Phone (253) 336-2040

Other practice location 1

744 Market St Ste 101Ab
Tacoma, WA 98402-3700
Phone (253) 336-2040

Other names 1

  • PhysioStrength 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
O20180222002723 WA Part B Supplier - Clinic/Group Practice 0143581785 Receives reassigned benefits from 18 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

2909 S 12th St
Tacoma, WA 98405
Phone (253) 336-2040

774 Market St Ste 101
Tacoma, WA 98402

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1073025490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052540",
            "telephone_number": "253-336-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052540",
            "telephone_number": "253-722-9788",
            "fax_number": "253-778-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 Market St Ste 101Ab",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023700",
            "country_code": "US",
            "telephone_number": "253-336-2040",
            "fax_number": "253-778-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOSTRENGTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "NACCARATO",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_middle_name": "LAVANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-336-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioStrength Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.