Individual provider Active NPI

Elizabeth Townsend, DPT

  • Physical Therapist
  • Ridgefield, WA
National Provider Identifier
1104554062
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1333163 Issued in WA
Practice address
2 S 56TH PL Ste 100
Ridgefield, WA 98642-3426
Phone
(360) 887-7147
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1333163 WA Primary

Addresses

Primary practice location

2 S 56TH PL Ste 100
Ridgefield, WA 98642-3426

Mailing address

1605 SE 352ND Ave
Washougal, WA 98671-5883
Phone (360) 907-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927001915 WA Practitioner - Physical Therapist in Private Practice 5799161899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feileacan LLCGroup PAC ID 2062789860, 7 clinicians

Practice addresses (Care Compare)

5284 Pioneer St
Suite 110
Ridgefield, WA 98642-3371
Phone (360) 887-7147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1333163WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feileacan, LLC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

2 S 56th Pl
Ste 100
Ridgefield, WA 98642
Phone (360) 784-2992

5284 Pioneer St
Unit 110
Ridgefield, WA 98642
Phone (360) 887-7147

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1104554062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SE 352ND AVE",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986715883",
            "telephone_number": "360-907-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S 56TH PL STE 100",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423426",
            "telephone_number": "360-887-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "1333163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.