Phoenix Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHOENIX PHYSICAL THERAPY PLLC

Practice address

10121 W Clearwater Ave Ste 113
Kennewick, WA 99336-3500

Phone

(509) 205-0797

NPI assigned

Feb 26, 2020

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kraig Sorensen, PTNPI 1396838108

Title

Owner

Phone

(509) 205-0797

Specialties & licenses 1

Addresses

Locations

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.

• Kraig C Sorensen, DPT

  • Physical Therapist
  • Kennewick, WA
  • NPI 1396838108
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1376177519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 W CLEARWATER AVE STE 113",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363500",
            "telephone_number": "509-205-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 W CLEARWATER AVE STE 113",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363500",
            "telephone_number": "509-205-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-205-0797",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh Philip, MD
• Elizabeth Phillips
• Tabitha Phillips, LMT
• Heather Phipps, D.O.
• Shannon L Phipps, D.O.
• Kendal Rae Piatt, O.D.
• Jessica Pickett
• Brett Christine Pieracci
• Claudio Pierini
• Elizabeth Rosella Pieros

• Physical Therapy Clinic/Center in Kennewick, WA
• Providers in Kennewick, 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 Feb 27, 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.