Organization Active NPI

Uptown Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Port Townsend, WA
National Provider Identifier
1093956450
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0244023OtherWALABOR AND INDUSTRY
7684202MedicaidWA
7105760MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Physical Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.