Organization Active NPI

Farnes Clinic, PS

  • Physical Therapist
  • University Place, WA
National Provider Identifier
1255426490
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000922 Issued in WA
Legal business name
FARNES CLINIC, PS
Practice address
4007 Bridgeport Way W Ste C
University Place, WA 98466-4330
Phone
(253) 565-7529
Fax
(253) 399-2508
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Larry D Farnes, PT
Title
President/ Owner
Phone
(253) 565-7529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00000922 WA Primary

Addresses

Primary practice location

4007 Bridgeport Way W Ste C
University Place, WA 98466-4330

Mailing address

4007 Bridgeport Way W Ste C
University Place, WA 98466-4330
Phone (253) 565-7529

National Provider Directory

National Provider Directory

Locations

1401 Regents Blvd
Ste 102
Fircrest, WA 98466

5521 100th St SW
Tacoma, WA 98499
Phone (253) 565-7529

4007 Bridgeport Way W
Ste C
University Place, WA 98466
Phone (253) 242-3661

4007 Bridgeport Way W
Ste F1
University Place, WA 98466
Phone (253) 565-7529

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1255426490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 BRIDGEPORT WAY W STE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664330",
            "telephone_number": "253-565-7529",
            "fax_number": "253-399-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 BRIDGEPORT WAY W STE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664330",
            "telephone_number": "253-565-7529",
            "fax_number": "253-399-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARNES CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "FARNES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "253-565-7529",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.