NPIMap

Organization Active NPI

Sagebrush Therapy Partners

  • Geriatric Physical Therapist
  • Lacey, WA
National Provider Identifier
1316866619
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
SAGEBRUSH THERAPY PARTNERS
Practice address
6434 Jeffrey CT SE
Lacey, WA 98513-6531
Phone
(720) 422-0262
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Jeremie Laraque-Two Elk, PT,DPT,GCS,MPH,MBANPI 1861078750
Title
Owner
Phone
(720) 422-0262

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
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

6434 Jeffrey CT SE
Lacey, WA 98513-6531

Mailing address

6434 Jeffrey CT SE
Lacey, WA 98513-6531

National Provider Directory

National Provider Directory

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": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1316866619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 JEFFREY CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985136531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 JEFFREY CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985136531",
            "telephone_number": "720-422-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEBRUSH THERAPY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "LARAQUE-TWO ELK",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-422-0262",
        "authorized_official_credential": "PT,DPT,GCS,MPH,MBA"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.