NPIMap

Organization Active NPI

Adult Rehabilitation Therapies, PLLC

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1194943381
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
602023026 Issued in WA
Legal business name
ADULT REHABILITATION THERAPIES, PLLC
Practice address
31200 23Rd Ave South
Suite 100
Federal Way, WA 98003
Phone
(253) 839-3403
Fax
(253) 839-3412
NPI assigned
Apr 23, 2007
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ADULT REHABILITATION THERAPIES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Mr. James C Fuller, PHYSICAL THERAPISTNPI 1124028634
Title
President
Phone
(253) 839-3403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 602023026 WA Primary

Addresses

Primary practice location

31200 23Rd Ave South
Suite 100
Federal Way, WA 98003

Mailing address

PO Box 6225
Federal Way, WA 98063
Phone (253) 839-3403

Other identifiers 2

IdentifierTypeStateIssuer
G8870660OtherWAMEDICARE PTAN
7101710MedicaidWA

National Provider Directory

National Provider Directory
Part of
Adult Rehabilitation Therapies PLLC

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1194943381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6225",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98063",
            "telephone_number": "253-839-3403",
            "fax_number": "253-839-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31200 23RD AVE SOUTH",
            "address_2": "SUITE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-839-3403",
            "fax_number": "253-839-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT REHABILITATION THERAPIES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADULT REHABILITATION THERAPIES, PLLC",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-839-3403",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "602023026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8870660",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101710",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.