Venus Physical Therapy and Fitness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VENUS PHYSICAL THERAPY AND FITNESS

Doing business as

Venus Physical Therapy & Fitness

Practice address

5614 176TH St E Ste B1031015
Puyallup, WA 98375-9303

Phone

(352) 501-6121

Fax

(253) 559-4029

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Keira Uphaus, PT, DPTNPI 1134797921

Title

Owner

Phone

(360) 628-6014

Specialties & licenses 1

Addresses

Other names 1

• Venus Physical Therapy & Fitness Doing business as

Locations

Practitioners 1

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

• Keira Lynn Uphaus, DPT

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1134797921
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1083461222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 46TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984431869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 176TH ST E STE B1031015",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759303",
            "telephone_number": "352-501-6121",
            "fax_number": "253-559-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "UPHAUS",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-628-6014",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venus Physical Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Velasquez
• Paul David Velasquez, COTA/L
• Patricia Velez
• Charles Venemon, PT
• Sandheep Venkataraman, MD
• Vesica Wellness PLLC
• Autumn Nicole Via
• Sarah Colleen Vialpando, CNM
• Heyk Viana
• Vianey Rubio PLLC

• Physical Therapy Clinic/Center in Puyallup, WA
• Providers in Puyallup, 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 May 6, 2024; 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.