Calvin Wu

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.P1.61470958 Issued in WA

Practice address

1010 S 336TH St Ste 112
Federal Way, WA 98003-7355

Phone

(253) 661-0041

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1184403131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 SE 233RD PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313764",
            "telephone_number": "206-913-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 112",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037355",
            "telephone_number": "253-661-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "PTA.P1.61470958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Woodward, N.P.
• Antoinette T Wright, LMP
• Dana Wright
• Kirsten N Wright
• Starla Dawn Wright, RN
• Daniel Wu, MD
• Fenfen Wu, M.D.
• Phil Wu
• Lynn Elise Wunder, MA, LMFT
• Xeno Laboratory LLC

• Physical Therapy Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.