Active NPI
Rhonda E. Law, PT
- Physical Therapist
- Port Orchard, WA
National Provider Identifier
1093767832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003991
- Practice address
- 1880 Pottery Ave
Suite 100
Port Orchard, WA 98366 - Phone
- (360) 895-9090
- Fax
- (360) 895-9089
- NPI assigned
- May 17, 2006
- Last updated
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003991 | WA | Primary |
Addresses
Primary practice location
1880 Pottery Ave
Suite 100
Port Orchard, WA 98366
Mailing address
4300 Lake Helena Road
Port Orchard, WA 98367
Phone (360) 895-4017
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8339350 | Medicaid | WA | |
| 912075994 | Other | KETSAP PHYSICAL THEREP SP | |
| 0159012 | Other | WA | L I |
| P00129558 | Other | RAILROAD MEDICARE |
Other names 1
- Mrs. Rhonda E. Carlson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teri Jo Lientz DPT MPT Atc PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Bremerton, WA
- NPI 1184145328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1093767832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 LAKE HELENA ROAD",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98367",
"telephone_number": "360-895-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 POTTERY AVE",
"address_2": "SUITE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "98366",
"telephone_number": "360-895-9090",
"fax_number": "360-895-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "RHONDA",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8339350",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KETSAP PHYSICAL THEREP SP",
"identifier": "912075994",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L I",
"identifier": "0159012",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00129558",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHONDA",
"last_name": "CARLSON",
"middle_name": "E.",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.