Organization Active NPI

Parkland Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Tacoma, WA
National Provider Identifier
1326027020
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00008063 Issued in WA
Legal business name
PARKLAND PHYSICAL THERAPY, PLLC
Practice address
12001 Pacific Ave S
Tacoma, WA 98444-5101
Phone
(253) 531-8595
Fax
(253) 531-6607
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. William Russell Jr., MPT, ATC
Title
Physical Therapist/Manager
Phone
(253) 531-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00008063 WA Primary

Addresses

Primary practice location

12001 Pacific Ave S
Tacoma, WA 98444-5101

Mailing address

12001 Pacific Ave S
#101
Tacoma, WA 98444-5101
Phone (253) 531-8595

Other identifiers 1

IdentifierTypeStateIssuer
7113327MedicaidWA

National Provider Directory

National Provider Directory

Locations

12001 Pacific Ave S
Tacoma, WA 98444
Phone (253) 531-8595

12001 Pacific Ave S
Ste 101
Tacoma, WA 98444
Phone (253) 531-8595

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1326027020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 PACIFIC AVE S",
            "address_2": "#101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445101",
            "telephone_number": "253-531-8595",
            "fax_number": "253-531-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445101",
            "telephone_number": "253-531-8595",
            "fax_number": "253-531-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGER",
        "authorized_official_telephone_number": "253-531-8595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00008063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7113327",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2007; 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.