Active NPI
Barbara Ann Radonich, PT
- Physical Therapist
- University Place, WA
National Provider Identifier
1437130770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000677
- Practice address
- 4606 Bridgeport Way W
University Place, WA 98466-4200 - Phone
- (253) 565-3551
- Fax
- (253) 565-4535
- NPI assigned
- Nov 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00000677 | WA | Primary |
Addresses
Primary practice location
4606 Bridgeport Way W
University Place, WA 98466-4200
Mailing address
4606 Bridgeport Way W
Suite C
University Place, WA 98466-4200
Phone (253) 565-3551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7041437 | Medicaid | WA |
Other names 1
- Barbara Ann Pilewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025208 | WA | MD | Cardiovascular Disease Physician |
| PT00000677 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quenga, Hanson and Purdue, P.S., Inc. | Physical Therapist | Past | Accepting new patients |
| Mount Rainier Neurology Clinic and Diagnostic Center PS | Past | Accepting new patients |
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.
-
- Neurology Physician
- Tacoma, WA
- NPI 1467505172
-
- Physical Therapist
- University Place, WA
- NPI 1871082974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1437130770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 BRIDGEPORT WAY W",
"address_2": "SUITE C",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664200",
"telephone_number": "253-565-3551",
"fax_number": "253-565-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 BRIDGEPORT WAY W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664200",
"telephone_number": "253-565-3551",
"fax_number": "253-565-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADONICH",
"first_name": "BARBARA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7041437",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "PILEWSKI",
"middle_name": "ANN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.