Organization Active NPI

First Rehabilitation & Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Olympia, WA
National Provider Identifier
1396959565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIRST REHABILITATION & PHYSICAL THERAPY, INC.
Practice address
3775 Martin Way E Ste a
Olympia, WA 98506-5007
Phone
(360) 438-1460
Fax
(360) 438-1683
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nena A Sueno
Title
Administrator
Phone
(360) 438-1460

Specialties & licenses 1

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

Addresses

Primary practice location

3775 Martin Way E Ste a
Olympia, WA 98506-5007

Mailing address

PO Box 1068
Olympia, WA 98507-1068
Phone (360) 438-1460

Other identifiers 2

IdentifierTypeStateIssuer
7025273MedicaidWA
30560OtherWALABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396959565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985071068",
            "telephone_number": "360-438-1460",
            "fax_number": "360-438-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 MARTIN WAY E STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065007",
            "telephone_number": "360-438-1460",
            "fax_number": "360-438-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST REHABILITATION & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUENO",
        "authorized_official_first_name": "NENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-438-1460"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7025273",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "30560",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.