Active NPI
Montesano Physical Therapy Inc.
- Physical Therapy Clinic/Center
- Montesano, WA
National Provider Identifier
1083711253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MONTESANO PHYSICAL THERAPY INC.
- Practice address
- 508 E Pioneer Ave
Montesano, WA 98563-4606 - Phone
- (360) 249-4185
- Fax
- (360) 249-4195
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe W Arndt, P.T.
- Title
- Owner
- Phone
- (360) 249-4185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
508 E Pioneer Ave
Montesano, WA 98563-4606
Mailing address
PO Box 559
McCleary, WA 98557-0559
Phone (360) 249-4185
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG1730 | Other | MEDICARE RR # | |
| 131145 | Other | WA | L & I GROUP # |
| 7074511 | Other | WA | MEDICAID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
508 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-4185
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Montesano, WA
- NPI 1073613618
-
- Physical Therapist
- Tumwater, WA
- NPI 1306885991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1083711253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 559",
"city": "MCCLEARY",
"state": "WA",
"postal_code": "985570559",
"telephone_number": "360-249-4185",
"fax_number": "360-249-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634606",
"telephone_number": "360-249-4185",
"fax_number": "360-249-4195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTESANO PHYSICAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "ARNDT",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-249-4185",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR #",
"identifier": "CG1730",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I GROUP #",
"identifier": "131145",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "7074511",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.