NPIMap

Organization Active NPI

Paul Drumheller Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Tacoma, WA
National Provider Identifier
1285767707
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PAUL DRUMHELLER PHYSICAL THERAPY PLLC
Practice address
1 N Tacoma Ave
Ste 103
Tacoma, WA 98403-3131
Phone
(253) 274-1884
Fax
(253) 274-1885
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Paul Drumheller, MPT, OCS, CSCSNPI 1699808113
Title
Owner, PT
Phone
(253) 274-1884

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1 N Tacoma Ave
Ste 103
Tacoma, WA 98403-3131

Mailing address

1 N Tacoma Ave
Ste 103
Tacoma, WA 98403-3131
Phone (253) 274-1884

Other identifiers 1

IdentifierTypeStateIssuer
0177195OtherL&I

Other names 1

  • 3DIMENSIONAL PHYSICAL THERAPY AND SPORTS CONDITIONING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001196 WA Part B Supplier - Clinic/Group Practice 9335035682 Receives reassigned benefits from 7 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

1 N Tacoma Ave
Ste 103
Tacoma, WA 98403
Phone (253) 274-1884

Practitioners & affiliated clinicians

Practitioners 10

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1285767707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N TACOMA AVE",
            "address_2": "STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033131",
            "telephone_number": "253-274-1884",
            "fax_number": "253-274-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N TACOMA AVE",
            "address_2": "STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033131",
            "telephone_number": "253-274-1884",
            "fax_number": "253-274-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DRUMHELLER PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "DRUMHELLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "253-274-1884",
        "authorized_official_credential": "MPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0177195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3DIMENSIONAL PHYSICAL THERAPY AND SPORTS CONDITIONING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.