NPIMap

Organization Active NPI

Therapy Management Services, PLLC

  • Physical Therapist
  • Lynnwood, WA
National Provider Identifier
1134572035
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY MANAGEMENT SERVICES, PLLC
Practice address
4725 196TH St SW
Lynnwood, WA 98036-5518
Phone
(425) 967-3970
Fax
(425) 967-5498
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dwan Diaz
Title
Credentialing Coordinator
Phone
(425) 450-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4725 196TH St SW
Lynnwood, WA 98036-5518

Mailing address

915 118TH Ave SE Ste 110
Bellevue, WA 98005-3875
Phone (425) 450-9474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213001176 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143500983 Receives reassigned benefits from 173 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marysville, WA; Mercer Island, WA; Mount Vernon, WA; North Bend, WA; Puyallup, WA; Redmond, WA; Seattle, WA; Sedro Woolley, WA…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1134572035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 118TH AVE SE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053875",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365518",
            "telephone_number": "425-967-3970",
            "fax_number": "425-967-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "425-450-9474"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.