Individual provider Active NPI

William Walter Linnenkohl, M.P.T.

  • Orthopedic Physical Therapist
  • Tumwater, WA
National Provider Identifier
1114925948
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00002430 WA Issued in WA
Practice address
2755 Mottman Rd SW
Tumwater, WA 98512-5684
Phone
(360) 352-5077
Fax
(360) 352-5022
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00002430 WA WA
Neurology Physical Therapist 2251N0400X PT00002430 WA WA
Sports Physical Therapist 2251S0007X PT00002430 WA WA
Orthopedic Physical Therapist 2251X0800X PT00002430 WA WA Primary

Addresses

Primary practice location

2755 Mottman Rd SW
Tumwater, WA 98512-5684

Mailing address

2755 Mottman Rd SW
Tumwater, WA 98512-5684
Phone (360) 352-5077

Other identifiers 3

IdentifierTypeStateIssuer
0163572OtherWADEPT LABOR & INDUSTRIES
1761LIOtherWAREGENCE
8327199MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00002430 WAWAMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114925948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MOTTMAN RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985125684",
            "telephone_number": "360-352-5077",
            "fax_number": "360-352-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 MOTTMAN RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985125684",
            "telephone_number": "360-352-5077",
            "fax_number": "360-352-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNENKOHL",
        "first_name": "WILLIAM",
        "middle_name": "WALTER",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002430 WA",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": "PT00002430 WA",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WA",
            "license": "PT00002430 WA",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002430 WA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT  LABOR & INDUSTRIES",
            "identifier": "0163572",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1761LI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8327199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.