Organization Active NPI

Lagniappe, PLLC

Doing business as Lagniappe Physical Therapy and Pilates

  • Physical Therapy Clinic/Center
  • Gig Harbor, WA
National Provider Identifier
1356951123
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LAGNIAPPE, PLLC
Doing business as
Lagniappe Physical Therapy and Pilates
Practice address
7515 54TH Ave NW
Gig Harbor, WA 98335-7434
Phone
(253) 244-3465
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Ashley Pittman, PT, DPTNPI 1629375548
Title
Owner
Phone
(253) 244-3465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7515 54TH Ave NW
Gig Harbor, WA 98335-7434

Mailing address

7515 54TH Ave NW
Gig Harbor, WA 98335-7434
Phone (253) 244-3465

Other identifiers 1

IdentifierTypeStateIssuer
1629375548OtherNPI INDIVIDUAL

Other names 1

  • Lagniappe Physical Therapy and Pilates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104000526 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204249600 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

5727 Baker Way NW
Ste 203
Gig Harbor, WA 98332
Phone (253) 244-3564

Practitioners & affiliated clinicians

Practitioners 1

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": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1356951123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 54TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357434",
            "telephone_number": "253-244-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 54TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357434",
            "telephone_number": "253-244-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-244-3465",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1629375548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lagniappe Physical Therapy and Pilates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.