Organization Active NPI

Sound Balance Physical Therapy

  • Physical Therapy Clinic/Center
  • Sumner, WA
National Provider Identifier
1396150835
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60391158 Issued in WA
Legal business name
SOUND BALANCE PHYSICAL THERAPY
Practice address
15719 63Rd Street CT E
#1
Sumner, WA 98390-3067
Phone
(253) 217-0832
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Adam Jeffrey Schetselaar, PTNPI 1720400336
Title
Owner
Phone
(253) 217-0832

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 Therapy Clinic/Center 261QP2000X PT60391158 WA Primary

Addresses

Primary practice location

15719 63Rd Street CT E
#1
Sumner, WA 98390-3067

Mailing address

15719 63Rd Street CT E
#1
Sumner, WA 98390-3067
Phone (253) 217-0832

National Provider Directory

National Provider Directory

Locations

4102 S Meridian
Ste E5
Puyallup, WA 98373
Phone (253) 217-0832

Practitioners & affiliated clinicians

Practitioners 2

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1396150835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15719 63RD STREET CT E",
            "address_2": "#1",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903067",
            "telephone_number": "253-217-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15719 63RD STREET CT E",
            "address_2": "#1",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903067",
            "telephone_number": "253-217-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND BALANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SCHETSELAAR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-217-0832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60391158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.