Active NPI
Lillian Valentine Cronin, PT
- Physical Therapist
- Federal Way, WA
National Provider Identifier
1487347084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009399
- Practice address
- 33650 6TH Ave S Ste 114
Federal Way, WA 98003-6754 - Phone
- (253) 942-3308
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PT00009399 | WA | Primary |
Addresses
Primary practice location
33650 6TH Ave S Ste 114
Federal Way, WA 98003-6754
Mailing address
3806 S D St
Tacoma, WA 98418-7823
Phone (253) 226-4743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33650 6TH Ave S
Suite 114
Federal Way, WA 98003-6754
Phone (253) 942-3308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009399 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Physical Therapy Services PS | Current | Accepting new patients |
Locations
33650 6th Ave S
Ste 114
Federal Way, WA 98003
Phone (253) 942-3308
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellspring Physical Therapy
- Physical Therapy Clinic/Center
- Federal Way, WA
- NPI 1891240255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1487347084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 S D ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187823",
"telephone_number": "253-226-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33650 6TH AVE S STE 114",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036754",
"telephone_number": "253-942-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "LILLIAN",
"middle_name": "VALENTINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.