Junction Physical Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JUNCTION PHYSICAL MEDICINE

Practice address

15215 52ND Ave S Ste 204
Tukwila, WA 98188-2354

Phone

(253) 260-4092

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tam Quach, DONPI 1154713071

Title

Owner

Phone

(253) 260-4092

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tam Quach, DO

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1154713071
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1477245959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 SE 189TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 52ND AVE S STE 204",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882354",
            "telephone_number": "253-260-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-260-4092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine Jelene Fowler Justus, MA CCC SLP
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• Physical Medicine & Rehabilitation Physician in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.