Organization Active NPI

Montesano Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Montesano, WA
National Provider Identifier
1083711253
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jan 26, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CG1730OtherMEDICARE RR #
131145OtherWAL & I GROUP #
7074511OtherWAMEDICAID GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000270 WA Part B Supplier - Clinic/Group Practice 2163414699 Receives reassigned benefits from 1 practitioner
Practice locations: Montesano, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.