Foundations Therafitness and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FOUNDATIONS THERAFITNESS AND PHYSICAL THERAPY LLC

Practice address

1802 Black Lake Blvd SW Ste 103
Olympia, WA 98512-5634

Phone

(360) 584-4556

Fax

(360) 251-0011

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Tracee Jean Martin Karlson, PTNPI 1982690467

Title

Physical Therapist, Ceo

Phone

(360) 584-4556

Specialties & licenses 1

Addresses

Other names 1

• Foundations Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracee Jean Martin Karlson

  • Physical Therapist
  • Olympia, WA
  • NPI 1982690467
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1083239073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 TIGER TAIL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985122141",
            "telephone_number": "360-584-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BLACK LAKE BLVD SW STE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125634",
            "telephone_number": "360-584-4556",
            "fax_number": "360-251-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS THERAFITNESS AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "KARLSON",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_middle_name": "JEAN MARTIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, CEO",
        "authorized_official_telephone_number": "360-584-4556",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Danielle Foster
• Dontie Foster
• Laura L Foster, MSN, RDN
• Mariah Brooke Foster
• Michael Allen Foster, PT
• Foveo Lactation LLC
• Jodie Ann Fowler-Curran, MC 61263712
• Richard Scott Fowler, LPN
• Alicia Fox
• Brian L Fox, DO

• Physical Therapy Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.