Organization Active NPI

Physiomender LLC

  • Physical Therapist
  • Wenatchee, WA
National Provider Identifier
1285311944
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOMENDER LLC
Practice address
1108 Springwater Ave
Wenatchee, WA 98801-1548
Phone
(206) 755-2236
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Mr. Lauren Dale Johnson, DPTNPI 1922431543
Title
Owner/Employee
Phone
(206) 755-2236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1108 Springwater Ave
Wenatchee, WA 98801-1548

Mailing address

1704 Norman St
Wenatchee, WA 98801-1034
Phone (206) 755-2236

National Provider Directory

National Provider Directory

Locations

1108 Springwater Ave
Wenatchee, WA 98801
Phone (206) 755-2236

Practitioners & affiliated clinicians

Practitioners 1

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1285311944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NORMAN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011034",
            "telephone_number": "206-755-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SPRINGWATER AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011548",
            "telephone_number": "206-755-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMENDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "206-755-2236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.