Physio Northwest LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIO NORTHWEST LLC

Practice address

23313 57TH St E
Buckley, WA 98321-8725

Phone

(617) 935-6190

NPI assigned

Apr 21, 2020

Organization subpart

No

Name

Ashley StanleyNPI 1861708000

Title

Owner

Phone

(617) 935-6190

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Stanley, PT, DPT

  • Neurology Physical Therapist
  • Buckley, WA
  • NPI 1861708000

  WA

  Medicare reassignment NPD Authorized official
• Katey Suzanne Lent

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1841396314

  WA

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

• Physio Northwest Doing business as
• Physio NW Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2024.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1124648092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8101",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983910892",
            "telephone_number": "617-935-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23313 57TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218725",
            "telephone_number": "617-935-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Auburn Way N Ste A",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980025062",
            "country_code": "US",
            "telephone_number": "360-320-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIO NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-935-6190"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physio Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physio Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physio NW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Loise Ndegwa
• Kenya Nelson, MSW, LSWAIC
• Lindsey Anne Nice, PHD, LMFT, RN
• Natalie Nicole Nordell
• Tomoko Okada, MOT
• Rainier State School
• James Thomas Raugust, D.D.S.
• Michelle Marie Rickard, CD(DONA)
• Allen Arthur Ries, MD
• Jennifer Rigg, LPN

• All providers in Buckley, WA
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.