Tacoma Rehab, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TACOMA REHAB, INC.

Practice address

3625 E B St
Tacoma, WA 98404-1524

Phone

(253) 475-2507

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

K. Rickard Miller Jr.

Title

Manager

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487671392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E B ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041524",
            "telephone_number": "253-475-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "K. RICKARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tacoma Public Schools
• Tacoma Public Schools
• Tacoma Public Schools
• Tacoma Radiation Oncology Center Inc, PS
• Tacoma Recovery Cafe
• Tacoma Rehab, LLC
• Tacoma Rehabilitation Therapy Inc.
• Tacoma School District
• Tacoma School District
• Tacoma SNF Operations LLC

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.