Todd Tucholke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61054286 Issued in WA

Practice address

321 N Chambers St
Port Angeles, WA 98362-3919

Phone

(360) 417-7728

NPI assigned

Mar 14, 2019

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clallam County Public Hospital District 2

  dba Olympic Medical Home Health

  • Home Health Agency
  • Port Angeles, WA
  • NPI 1437259165
  NPD (past)
• Olympic Medical Center

  • Physical Therapy Clinic/Center
  • Port Angeles, WA
  • NPI 1295009207
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1326507807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 MISSION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031858",
            "telephone_number": "541-556-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N CHAMBERS ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623919",
            "telephone_number": "360-417-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHOLKE",
        "first_name": "TODD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61054286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Tran, PHARM.D
• Jennifer Ruth Trefonas, LMHC
• Allana Triece
• Trillium Treatment Center Inc.
• Amanda Truman, LMHC
• Pattie Rae Tuck, RN, IBCLC
• Haley Tucker
• Jeffery Scott Tucker
• Lloyd M Tucker, DMD, MSD
• Kirsti F. Turella, DMD

• Physical Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.