Organization Active NPI

Tigerwolf Electrodiagnostics, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Gig Harbor, WA
National Provider Identifier
1487446753
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TIGERWOLF ELECTRODIAGNOSTICS, PLLC
Practice address
4423 Point Fosdick Dr Ste 308
Gig Harbor, WA 98335-1794
Phone
(503) 806-1579
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Venus Azimi, DONPI 1518280791
Title
Physician
Phone
(503) 806-1579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

4423 Point Fosdick Dr Ste 308
Gig Harbor, WA 98335-1794

Mailing address

7722 76TH Ave NW
Gig Harbor, WA 98335-8626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708003515 WA Part B Supplier - Clinic/Group Practice 1456865856 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

4423 Point Fosdick Dr
Ste 308
Gig Harbor, WA 98335
Phone (360) 543-5976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1487446753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 76TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR STE 308",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351794",
            "telephone_number": "503-806-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGERWOLF ELECTRODIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "VENUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-806-1579",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.