Rolanda Lynn Shiosaki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00002550 Issued in WA

Practice address

19001 Vashon Hwy SW Ste 108
Vashon, WA 98070-5214

Phone

(206) 408-7398

Fax

(206) 259-3107

NPI assigned

Apr 24, 2007

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rolanda Lynn Krebs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shiosaki Physical Therapy, LLC

  dba Shiosaki Physical Therapy

  • Physical Therapy Clinic/Center
  • Vashon, WA
  • NPI 1801449939

  Physical Therapist

  NPD Authorized official
• Vashon Physical Therapy

  • Specialist
  • Vashon, WA
  • NPI 1669685913
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1235358854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980701509",
            "telephone_number": "206-408-7398",
            "fax_number": "206-259-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 VASHON HWY SW STE 108",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705214",
            "telephone_number": "206-408-7398",
            "fax_number": "206-259-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIOSAKI",
        "first_name": "ROLANDA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00002550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005720",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLANDA",
            "last_name": "KREBS",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sea Mar Community Health Centers
• Shannon Seath Meyer, LMT
• Seattle Indian Health Board
• Ann Leda Shapiro, L.AC.
• Shiosaki Physical Therapy, LLC (Shiosaki Physical Therapy)
• Caroline Mary Sias, LMP
• Geriann Siebert, OTR
• Leigh Siergiewicz, ND
• Tammi J Sims
• Osha Sky, L.M.P.

• Physical Therapist in Vashon, WA
• Providers in Vashon, WA by specialty
• Physical Therapist in Washington

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