Pacific Therapy, PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT00002558 Issued in WA

Legal business name

PACIFIC THERAPY, PS

Practice address

4701 S 19TH St Ste 100
Tacoma, WA 98405-1199

Phone

(253) 759-1310

Fax

(253) 759-1330

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Craig A Taft, PT

Title

Owner

Phone

(253) 759-1310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1164519195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "253-759-1310",
            "fax_number": "253-759-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "253-759-1310",
            "fax_number": "253-759-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC THERAPY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-759-1310",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00002558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118656",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Pediatrics
• Pacific Podiatry Group, PS
• Pacific Ridge Behavioral Health LLC
• Pacific Spine Center
• Pacific Spine Center LLC
• Pacific View Adult Family Home LLC
• Gregory M. Pack
• Susan Pack
• Joshua Cade Packard, M.D.
• Donald Scott Paddock, D.C.

• Specialist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.