Advance Physical Therapy of Orting, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Orting, WA
NPI 1093962318 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1093962318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT00010070 (WA)
- Legal business name
- ADVANCE PHYSICAL THERAPY OF ORTING, INC.
- Practice address
- 208 Corrin Ave. S.W.
Orting, WA 98360 - Phone
- (253) 227-9747
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Bradley Ross Harvie, M.S.P.T.
- Title
- President
- Phone
- (360) 872-0401
Practitioners 3
-
Bradley Ross Harvie, MSPT
-
Nicole Riddle, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081107000775 | WA | Part B Supplier - Clinic/Group Practice | 4789743584 |
Receives reassigned benefits from 3 practitioners Practice locations: Orting, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT00010070 | WA | Yes |
Addresses
Primary practice location
208 Corrin Ave. S.W.
Orting, WA 98360
Mailing address
302 Icey St SW
Orting, WA 98360-9421
Phone (360) 872-0401
Other providers in Orting, WA
- Advanced Chiropractic Health & Wellness Center
- Kenneth Alford
- Annette Almoite
- Tiffani Aloia
- American Adult Family Home LLC
All providers in Orting, WA · Physical Therapy Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.