NPIMap

Organization Active NPI

Van Wagner Ventures LLC

Doing business as InHome Rehab Of Washington

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1073614525
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5028 Issued in WA
Legal business name
VAN WAGNER VENTURES LLC
Doing business as
InHome Rehab Of Washington
Practice address
22710 126TH PL SE
Kent, WA 98031-3666
Phone
(206) 595-5085
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Patricia Sue VanwagnerNPI 1114032463
Title
Owner
Phone
(206) 595-5085

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 5028 WA Primary

Addresses

Primary practice location

22710 126TH PL SE
Kent, WA 98031-3666

Mailing address

22710 126TH PL SE
Kent, WA 98031-3666

Other names 1

  • InHome Rehab Of Washington Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1073614525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 126TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 126TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313666",
            "telephone_number": "206-595-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WAGNER VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "VANWAGNER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-595-5085"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InHome Rehab Of Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.