Individual provider Active NPI

Barbara Ann Radonich, PT

  • Physical Therapist
  • University Place, WA
National Provider Identifier
1437130770
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000677 Issued in WA
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

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7041437MedicaidWA

Other names 1

  • Barbara Ann Pilewski Former name

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

LicenseStateTypeSpecialty
025208WAMDCardiovascular Disease Physician
PT00000677WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quenga, Hanson and Purdue, P.S., Inc. Physical Therapist PastSince Apr 23, 2018 Accepting new patients
Mount Rainier Neurology Clinic and Diagnostic Center PS PastSince Jan 2, 2007 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.

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.

Verify at the official NPI Registry.