Active NPI
Will Thomas Lawrence, DPT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60979089
- Practice address
- 2415 NE 134TH St Ste 201
Vancouver, WA 98686-3032 - Phone
- (360) 859-3346
- Fax
- (360) 859-3357
- NPI assigned
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60979089 | WA | Primary |
Addresses
Primary practice location
2415 NE 134TH St Ste 201
Vancouver, WA 98686-3032
Mailing address
1480 NE Village St
Fairview, OR 97024-3827
Phone (503) 489-1174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 SW 153Rd Dr
Suite 210
Beaverton, OR 97003-4176
Phone (971) 727-8155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60979089 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Proactive Orthopedic and Sports Physical Therapy of Battle Ground | Current | Accepting new patients | |
| Big Sky Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3925 SW 153rd Dr
Ste 210
Beaverton, OR 97003
Phone (503) 644-0600
1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174
609 NE Baker St
Ste 140
McMinnville, OR 97128
Phone (503) 472-0848
2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802
1808 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Portland, OR
- NPI 1346672797
-
- Physical Therapist
- McMinnville, OR
- NPI 1265903819
-
- Physical Therapy Clinic/Center
- Battle Ground, WA
- NPI 1922235738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1366096489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 NE VILLAGE ST",
"city": "FAIRVIEW",
"state": "OR",
"postal_code": "970243827",
"telephone_number": "503-489-1174",
"fax_number": "503-489-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 NE 134TH ST STE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863032",
"telephone_number": "360-859-3346",
"fax_number": "360-859-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "WILL",
"middle_name": "THOMAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60979089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.