Wellspring Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00007405 Issued in WA

Legal business name

WELLSPRING PHYSICAL THERAPY, LLC

Practice address

33650 6TH Ave S
Ste 100
Federal Way, WA 98003-6754

Phone

(253) 942-3308

Fax

(253) 237-0643

NPI assigned

Sep 20, 2006

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Merianne R Jordan, DPT

Title

Owner

Phone

(253) 686-8033

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1114024395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33650 6TH AVE S",
            "address_2": "STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036754",
            "telephone_number": "253-942-3308",
            "fax_number": "253-237-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33650 6TH AVE S",
            "address_2": "STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036754",
            "telephone_number": "253-942-3308",
            "fax_number": "253-237-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MERIANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-686-8033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00009213",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00003078",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00009987",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet E Weller, COF, CMF
• Lynn Wells
• Samuel Wells
• Wellspring Midwifery LLC (Wellspring Midwifery)
• Wellspring Physical Therapy Services PS (Wellspring Physical Therapy)
• Tiffany A Welo
• Welu Healthcare Inc (Highland Pharmacy)
• Wema Care Senior Living LLC
• John S Wendt, MD
• Jack Allen Wesson, CDP

• Physical Therapy Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.