NPIMap

Organization Active NPI

Therapy Management Services, PLLC

Doing business as Reaction Physical Therapy Lake Stevens

  • Durable Medical Equipment & Medical Supplies
  • Marysville, WA
National Provider Identifier
1205025319
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THERAPY MANAGEMENT SERVICES, PLLC
Doing business as
Reaction Physical Therapy Lake Stevens
Reaction Physical Therapy Smokey Point
Practice address
17020 Twin Lakes Ave Ste C101
Marysville, WA 98271-4731
Phone
(425) 658-8400
Fax
(425) 658-2606
NPI assigned
Oct 15, 2007
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU
Physical Therapist 225100000X WA

Addresses

Primary practice location

17020 Twin Lakes Ave Ste C101
Marysville, WA 98271-4731

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (813) 560-8157

Other practice location 1

925 Frontier Circle E
Suite 100
Lake Stevens, WA 98258
Phone (425) 377-1290

Other identifiers 1

IdentifierTypeStateIssuer
7101058MedicaidWA

Other names 4

  • Reaction Physical Therapy Lake Stevens Doing business as
  • Reaction Physical Therapy Smokey Point Doing business as
  • Reaction Physical Therapy, PLLC Former legal business name
  • RET Physical Therapy & Healthcare Specialists Other name

National Provider Directory

National Provider Directory
Tax ID family
Therapy Management Services PLLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

3131 Smokey Point Dr
Ste G
Arlington, WA 98223
Phone (360) 658-8400

3325 Smokey Point Dr
Ste 204
Arlington, WA 98223
Phone (360) 618-0176

1109 Frontier Cir E
Ste B
Lake Stevens, WA 98258
Phone (425) 377-1290

925 Frontier Cir E
#100
Lake Stevens, WA 98258
Phone (425) 377-1169

2704 171st Pl NE
Ste 103
Marysville, WA 98271
Phone (360) 658-8400

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1205025319",
    "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": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 TWIN LAKES AVE STE C101",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714731",
            "telephone_number": "425-658-8400",
            "fax_number": "425-658-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Frontier Circle E",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "98258",
            "country_code": "US",
            "telephone_number": "425-377-1290",
            "fax_number": "425-377-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101058",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reaction Physical Therapy Lake Stevens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reaction Physical Therapy Smokey Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reaction Physical Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RET Physical Therapy & Healthcare Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marysville, 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.

Verify at the official NPI Registry.