NPIMap

Organization Active NPI

Anunciado Enterprises PC

Doing business as 360 Physical Therapy

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1356554885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006791 Issued in WA
Legal business name
ANUNCIADO ENTERPRISES PC
Doing business as
360 Physical Therapy
Practice address
1308 NE 134TH St
Suite 110
Vancouver, WA 98685-2725
Phone
(360) 573-2266
Fax
(360) 573-1502
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dwight Anunciado, MSPTNPI 1639185309
Title
Owner
Phone
(360) 573-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00006791 WA Primary

Addresses

Primary practice location

1308 NE 134TH St
Suite 110
Vancouver, WA 98685-2725

Mailing address

1308 NE 134TH St
Suite 110
Vancouver, WA 98685-2725
Phone (360) 573-2266

Other names 1

  • 360 Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

223 E Reserve St
Ste 104
Vancouver, WA 98661
Phone (360) 573-2266

1308 NE 134th St
#360
Vancouver, WA 98685
Phone (360) 573-2266

1308 NE 134th St
Ste 110
Vancouver, WA 98685
Phone (360) 356-6811

Practitioners & affiliated clinicians

Practitioners 9

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356554885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 NE 134TH ST",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852725",
            "telephone_number": "360-573-2266",
            "fax_number": "360-573-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 NE 134TH ST",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852725",
            "telephone_number": "360-573-2266",
            "fax_number": "360-573-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUNCIADO ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANUNCIADO",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-573-2266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.