Summit Performance Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20-14-101736-00-BL Issued in WA

Legal business name

SUMMIT PERFORMANCE PHYSICAL THERAPY

Practice address

33100 Pacific Hwy S Ste 3
Federal Way, WA 98003-6445

Phone

(253) 888-0595

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Peter Young Lee, DPT

Title

Owner

Phone

(253) 888-0595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1356761647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 PACIFIC HWY S STE 3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036445",
            "telephone_number": "253-888-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 PACIFIC HWY S STE 3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036445",
            "telephone_number": "253-888-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-888-0595",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "20-14-101736-00-BL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gloria Summers, LMT
• Gregory R Summers, LMP, DC
• Sihwan Sung, DDS
• Sunrise Home Care LLC
• Supplemental Health Care
• Supplemental Healthcare
• Henry Surbeck, DDS

• Physical Therapy Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.