Organization Active NPI

Totem Physical Therapy, PS

  • Specialist
  • Tacoma, WA
National Provider Identifier
1174610117
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT00006719 Issued in WA
Legal business name
TOTEM PHYSICAL 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

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Sarah K Ray, PTNPI 1063499960
Title
Owner
Phone
(253) 759-1310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT00006719 WA Primary

Addresses

Primary practice location

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

Mailing address

4701 S 19TH St Ste 100
Tacoma, WA 98405-1199
Phone (253) 759-1310

Other identifiers 1

IdentifierTypeStateIssuer
7130487MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1174610117",
    "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": "TOTEM PHYSICAL THERAPY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "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": "PT00006719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7130487",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.