Active NPI
Uptown Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Port Townsend, WA
National Provider Identifier
1093956450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UPTOWN PHYSICAL THERAPY
- Practice address
- 1215 Lawrence St
Suite 101
Port Townsend, WA 98368-6559 - Phone
- (360) 385-1035
- Fax
- (360) 385-4395
- NPI assigned
- Mar 16, 2009
- Last updated
- Jan 14, 2010
- 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
- Sally Aerts, PT, OCS, COMT
- Title
- Owner
- Phone
- (360) 385-1035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
1215 Lawrence St
Suite 101
Port Townsend, WA 98368-6559
Mailing address
1215 Lawrence St
Suite 101
Port Townsend, WA 98368-6559
Phone (360) 385-1035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244023 | Other | WA | LABOR AND INDUSTRY |
| 7684202 | Medicaid | WA | |
| 7105760 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Peninsula Physical Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Peninsula Physical Therapy Services
- Physical Therapist
- Port Townsend, WA
- NPI 1780920306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1093956450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LAWRENCE ST",
"address_2": "SUITE 101",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686559",
"telephone_number": "360-385-1035",
"fax_number": "360-385-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LAWRENCE ST",
"address_2": "SUITE 101",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686559",
"telephone_number": "360-385-1035",
"fax_number": "360-385-4395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-16",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "AERTS",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-385-1035",
"authorized_official_credential": "PT, OCS, COMT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0244023",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7684202",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7105760",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.