Active NPI
Julie E Badham, B.S., P.T.
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1174677702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003501
- Practice address
- 402 15TH Ave SE
#100
Puyallup, WA 98372-3709 - Phone
- (253) 697-5200
- Fax
- (253) 697-5145
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003501 | WA | Primary |
Addresses
Primary practice location
402 15TH Ave SE
#100
Puyallup, WA 98372-3709
Mailing address
402 15TH Ave SE
#100
Puyallup, WA 98372-3709
Phone (253) 697-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706001400 | WA | Practitioner - Physical Therapist in Private Practice | 7911309554 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003501 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
402 15th Ave SE
Ste 100
Puyallup, WA 98372
Phone (253) 607-5200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174677702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 15TH AVE SE",
"address_2": "#100",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723709",
"telephone_number": "253-697-5200",
"fax_number": "253-697-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 15TH AVE SE",
"address_2": "#100",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723709",
"telephone_number": "253-697-5200",
"fax_number": "253-697-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADHAM",
"first_name": "JULIE",
"middle_name": "E",
"credential": "B.S., P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; 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.