Physical Therapy Northwest, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60177354 Issued in WA

Legal business name

PHYSICAL THERAPY NORTHWEST, PLLC

Practice address

319 Washington Ave S
Kent, WA 98032-5767

Phone

(206) 909-9275

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Lucas Allan Preble, P.T.

Title

Manager/Member

Phone

(206) 909-9275

Specialties & licenses 1

Addresses

Other names 1

• Precision Physical Therapy Doing business as

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1104266451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "206-909-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325767",
            "telephone_number": "206-909-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY NORTHWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "PREBLE",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "206-909-9275",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60177354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Max Dwight Phelps, PH00009411
• Sydney Phelps
• Juwuan Phomprida-Robinson
• Xaisongkhame Phonexaiya, LMT
• Phuc T Phung, MD
• Physiotherapy Associates Inc
• Alexandra Pidgeon
• Karen-Ann Elizabeth Pierce, MED, BCBA, LBA
• Pillpack LLC
• Gay Lloyd Pinder, SLP

• Physical Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.