Irish Pediangco Dela Paz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60151196 Issued in WA

Practice address

2800 S 224TH St
Des Moines, WA 98198-5132

Phone

(206) 824-0600

NPI assigned

Oct 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Irish Quilino Pediangco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287187200000",
    "number": "1073823696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S 224TH ST APT E301",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981988835",
            "telephone_number": "206-302-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S 224TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985132",
            "telephone_number": "206-824-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA PAZ",
        "first_name": "IRISH",
        "middle_name": "PEDIANGCO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-16",
        "last_updated": "2010-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60151196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRISH",
            "last_name": "PEDIANGCO",
            "middle_name": "QUILINO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Isaac Davidson, LPN
• Mallory Lynn Davis, MD
• Martha Whitfield Davis, PHD
• Kebron Dawit
• Jessica Dawson, COTA/L
• Lois Marie Dennett, M.A.
• Kathrin Dentel, A.R.N.P
• Iolanda Deruiter, CDP
• Des Moines Drug Store Inc
• Des Moines Vision Center Inc PS

• Physical Therapist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2010; 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.