Organization Active NPI

Rehab Experts and Consulting LLC/ Physio Group LLC

  • Ergonomics Physical Therapist
  • Renton, WA
National Provider Identifier
1093395360
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
Legal business name
REHAB EXPERTS AND CONSULTING LLC/ PHYSIO GROUP LLC
Practice address
17526 163Rd Place SE
Renton, WA 98058-9131
Phone
(425) 318-0551
NPI assigned
Apr 12, 2021
Organization subpart
Yes
Parent organization
REHAB EXPERTS AND CONSULTING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Nancy L Rickerson, PH.D. , OTR/L
Title
Administrative Director
Phone
(425) 879-3403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

17526 163Rd Place SE
Renton, WA 98058-9131

Mailing address

17526 163Rd PL SE
Renton, WA 98058-9131
Phone (425) 318-0551

Other names 1

  • Physio Group LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1093395360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17526 163RD PL SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589131",
            "telephone_number": "425-318-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17526 163RD PLACE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589131",
            "telephone_number": "425-318-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB EXPERTS AND CONSULTING LLC/ PHYSIO GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHAB EXPERTS AND CONSULTING LLC",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "RICKERSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "425-879-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. , OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physio Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.