Maritime Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3697 Issued in WA

Legal business name

MARITIME PHYSICAL THERAPY

Practice address

246 St Helens Ave
Tacoma, WA 98402-2522

Phone

(253) 272-2021

Fax

(253) 272-2360

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

James K Haberstro, PT

Title

Owner

Phone

(253) 272-2021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1275710360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022522",
            "telephone_number": "253-272-2021",
            "fax_number": "253-272-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022522",
            "telephone_number": "253-272-2021",
            "fax_number": "253-272-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "HABERSTRO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-272-2021",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT3697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia L Marine, FNP
• Steven Peter Marinkovich, DDS
• David Marino, M.D.
• Rick J. Marino, M.D.
• Willa Alise Marinov, RN
• Mark a. Sundberg, DDS, PLLC
• Mark D. Johnson D.D.S., P.S.
• Mark L Webb DC
• Marked Tree Dialysis
• David Tristan Markel, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.