Active NPI
Parkland Physical Therapy, PLLC
- Orthopedic Physical Therapist
- Tacoma, WA
National Provider Identifier
1326027020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT00008063
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7113327 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.