Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Practice address

15328 Main St E
Sumner, WA 98390-2640

Phone

(253) 863-0404

Fax

(253) 863-5834

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Jayne Fleck-Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physiotherapy Associate Inc

  • Rehabilitation Clinic/Center
  • Issaquah, WA
  • NPI 1073876595

  O20050315000887

  Same enrollment
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1205874690

  O20050315000887

  Same enrollment
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Kent, WA
  • NPI 1497793590

  O20050315000887

  Same enrollment

Practitioners 1

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

• Carmen Blankenship, PT

  • Physical Therapist
  • Sumner, WA
  • NPI 1629173042
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1497793004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15328 MAIN ST E",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902640",
            "telephone_number": "253-863-0404",
            "fax_number": "253-863-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "34780",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7064769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marylee S Packer, LMFT
• Cheris Paresa, D.C.
• Edward Tae Park
• Perkins Chiropractic PLLC
• Tedd M. Perkins, D.C.
• Loghan Pineda
• Audrey L Pitigliano, C.N.
• Leanne Marie Pusateri, LMP
• Puyallup Integrative Massage LLC
• Verne Qualls, M.A., CCC-SLP

• Physical Therapy Clinic/Center in Sumner, WA
• Providers in Sumner, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.