Individual provider Active NPI

Denali Leeona Pavlich-Wheeler, DPT

  • Orthopedic Physical Therapist
  • Tacoma, WA
National Provider Identifier
1396356424
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1 N Tacoma Ave Ste 103
Tacoma, WA 98403-3131
Phone
(253) 274-1884
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

1 N Tacoma Ave Ste 103
Tacoma, WA 98403-3131

Mailing address

1 N Tacoma Ave Ste 103
Tacoma, WA 98403-3131
Phone (253) 274-1884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000740 WA Practitioner - Physical Therapist in Private Practice 2466860150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Drumheller Physical Therapy PLLC Orthopedic CurrentSince Mar 1, 2021 Accepting new patients
Sheila K Settle PT PLLC Orthopedic PastSince Aug 23, 2020 Accepting new patients

Locations

1 N Tacoma Ave
Ste 103
Tacoma, WA 98403
Phone (253) 274-1884

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1396356424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N TACOMA AVE STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033131",
            "telephone_number": "253-274-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N TACOMA AVE STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033131",
            "telephone_number": "253-274-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLICH-WHEELER",
        "first_name": "DENALI",
        "middle_name": "LEEONA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.