Organization Active NPI

Alliance Physical Therapy, LLC

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1215032701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALLIANCE PHYSICAL THERAPY, LLC
Practice address
34507 Pacific Hwy S Ste 6
Federal Way, WA 98003-6879
Phone
(253) 838-2464
Fax
(253) 838-4991
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven G Wittrock, PTNPI 1104823129
Title
Owner/PT
Phone
(253) 838-2464

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

34507 Pacific Hwy S Ste 6
Federal Way, WA 98003-6879

Mailing address

34507 Pacific Hwy S Ste 6
Federal Way, WA 98003-6879
Phone (253) 838-2464

Other identifiers 1

IdentifierTypeStateIssuer
7099658MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Alliance Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215032701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34507 PACIFIC HWY S STE 6",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036879",
            "telephone_number": "253-838-2464",
            "fax_number": "253-838-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34507 PACIFIC HWY S STE 6",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036879",
            "telephone_number": "253-838-2464",
            "fax_number": "253-838-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTROCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "253-838-2464",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099658",
            "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 Aug 22, 2020; 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.