Active NPI
Farnes Clinic, PS
- Physical Therapist
- University Place, WA
National Provider Identifier
1255426490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000922
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Specialist
- University Place, WA
- NPI 1063692002
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.