NPIMap

Organization Active NPI

McRae and Radonich Inc PS

Doing business as Physical Therapy Associates INC PS

  • Physical Therapist
  • University Place, WA
National Provider Identifier
1326062191
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MCRAE AND RADONICH INC PS
Doing business as
Physical Therapy Associates INC PS
Practice address
4606 Bridgeport Way W
Suite C
University Place, WA 98466-4200
Phone
(253) 565-3551
Fax
(253) 565-4535
NPI assigned
Jul 26, 2006
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Bette Jean Johnson
Title
Office Manager
Phone
(253) 565-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

4606 Bridgeport Way W
Suite C
University Place, WA 98466-4200

Mailing address

4606 Bridgeport Way W
Suite C
University Place, WA 98466-4200
Phone (253) 565-3551

Other names 1

  • Physical Therapy Associates INC PS Doing business as

National Provider Directory

National Provider Directory

Locations

4606 Bridgeport Way W
Ste C
University Place, WA 98466
Phone (253) 565-3551

7820 27th St W
#B
University Place, WA 98466
Phone (253) 565-3551

7820 27th St W
Ste C
University Place, WA 98466
Phone (253) 565-3551

Practitioners & affiliated clinicians

Practitioners 8

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1326062191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "address_2": "SUITE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-565-3551",
            "fax_number": "253-565-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 BRIDGEPORT WAY W",
            "address_2": "SUITE C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664200",
            "telephone_number": "253-565-3551",
            "fax_number": "253-565-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRAE AND RADONICH INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-565-3551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Associates INC PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.