Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Practice address

6334 Littlerock Rd SW
Suite 103
Tumwater, WA 98512-7332

Phone

(360) 786-0878

Fax

(360) 786-0884

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Jayne Fleck-Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1215975248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD SW",
            "address_2": "SUITE 103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "360-786-0878",
            "fax_number": "360-786-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 LITTLEROCK RD SW",
            "address_2": "SUITE 103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127332",
            "telephone_number": "360-786-0878",
            "fax_number": "360-786-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "34780",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122161",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Peluso, AU.D.
• Cecilia Perez, RN
• Rebecca Mae Peters, LMHC
• Michelle Marie Peterson, RN
• Christy Pham, PHARMD
• Jose-Manuel Pineda
• Pinnacle Peak Institute Inc
• Carrie Lynn Pipkin
• Amy Pittman
• Kathleen De'Shae Plath

• Physical Therapy Clinic/Center in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.