Active NPI
Elizabeth Townsend, DPT
- Physical Therapist
- Ridgefield, WA
National Provider Identifier
1104554062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1333163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1333163 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feileacan, LLC | Physical Therapist | Current | 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.