Organization Active NPI

Rehab at Home PLLC

Doing business as Premier Physical Therapy

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1356526958
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB AT HOME PLLC
Doing business as
Premier Physical Therapy
Practice address
417 E Pioneer
Puyallup, WA 98372-3267
Phone
(253) 604-4824
Fax
(253) 604-4826
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Sue Buell, MS,P.T.
Title
Owner/PT
Phone
(253) 226-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

417 E Pioneer
Puyallup, WA 98372-3267

Mailing address

417 E Pioneer
Puyallup, WA 98372-3267
Phone (253) 604-4824

Other identifiers 2

IdentifierTypeStateIssuer
712402MedicaidWA
8801802OtherWAMEDICARE ID - PARTICIPATING PRACTIONER

Other names 1

  • Premier Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

417 E Pioneer
Puyallup, WA 98372
Phone (253) 604-4824

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1356526958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723267",
            "telephone_number": "253-604-4824",
            "fax_number": "253-604-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723267",
            "telephone_number": "253-604-4824",
            "fax_number": "253-604-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB AT HOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "253-226-3303",
        "authorized_official_credential": "MS,P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712402",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - PARTICIPATING PRACTIONER",
            "identifier": "8801802",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.