Active NPI
Therapy Management Services, PLLC
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
National Provider Identifier
1164585774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THERAPY MANAGEMENT SERVICES, PLLC
- Practice address
- 3801 5TH St SE Ste 220
Puyallup, WA 98374-2106 - Phone
- (253) 445-4258
- Fax
- (253) 445-4724
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwan Diaz
- Title
- CC
- Phone
- (813) 560-8157
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
3801 5TH St SE Ste 220
Puyallup, WA 98374-2106
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (813) 560-8157
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730196676 | Other | NPI | |
| 8368854 | Medicaid | WA | |
| 0180089 | Other | L & I | |
| 0185052 | Other | L & I | |
| 8341125 | Medicaid | WA | |
| 1518031467 | Other | NPI | |
| 1821005760 | Other | NPI | |
| 8368946 | Medicaid | WA | |
| 0189941 | Other | L & I | |
| 1649287582 | Other | NPI | |
| 8409393 | Medicaid | WA |
Other names 4
- Summit Physical Therapy PLLC
- RET Physical Therapy & Healthcare Specialists
- Summit Physical Therapy
- Therapy Management Services, PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1164585774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "813-560-8157",
"fax_number": "425-450-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 5TH ST SE STE 220",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742106",
"telephone_number": "253-445-4258",
"fax_number": "253-445-4724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "DWAN",
"authorized_official_title_or_position": "CC",
"authorized_official_telephone_number": "813-560-8157"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730196676",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8368854",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0180089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0185052",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341125",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1518031467",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1821005760",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8368946",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0189941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1649287582",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8409393",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Physical Therapy PLLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "RET Physical Therapy & Healthcare Specialists",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Summit Physical Therapy",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Summit Physical Therapy",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Therapy Management Services, PLLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.