NPIMap

Organization Active NPI

Familycare Physical Therapy

  • Physical Therapist
  • Clinton, WA
National Provider Identifier
1235173576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FAMILYCARE PHYSICAL THERAPY
Practice address
11042 State Route 525
#106
Clinton, WA 98236-8618
Phone
(360) 331-7850
Fax
(360) 331-4114
NPI assigned
Jun 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Penny Swearengin
Title
General Administrator
Phone
(360) 331-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11042 State Route 525
#106
Clinton, WA 98236-8618

Mailing address

11042 State Route 525
#106
Clinton, WA 98236-8618
Phone (360) 331-7850

Other identifiers 3

IdentifierTypeStateIssuer
7084700MedicaidWA
CG9849OtherWARAILROAD RETIREMENT GROUP
0130162OtherWADEPT. OF LABOR GROUP #

National Provider Directory

National Provider Directory

Locations

11042 State Route 525
Ste 106
Clinton, WA 98236
Phone (360) 331-7250

11042 State Route 525
Ste 136
Clinton, WA 98236
Phone (360) 331-7850

275 SE Cabot Dr
#203
Oak Harbor, WA 98277
Phone (360) 279-1445

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235173576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 STATE ROUTE 525",
            "address_2": "#106",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368618",
            "telephone_number": "360-331-7850",
            "fax_number": "360-331-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 STATE ROUTE 525",
            "address_2": "#106",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368618",
            "telephone_number": "360-331-7850",
            "fax_number": "360-331-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYCARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEARENGIN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "GENERAL ADMINISTRATOR",
        "authorized_official_telephone_number": "360-331-7850"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7084700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT GROUP",
            "identifier": "CG9849",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR GROUP #",
            "identifier": "0130162",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, 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.