Active NPI
Patrick Podrazik
- Speech-Language Pathologist
- Tacoma, WA
National Provider Identifier
1497936348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP5706
- Practice address
- 1301 NTH Highlands Parkway
Tacoma, WA 98406-3226 - Phone
- (253) 752-7112
- NPI assigned
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP5706 | AZ | Primary |
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1301 NTH Highlands Parkway
Tacoma, WA 98406-3226
Mailing address
4301 NTH 25TH Street
Tacoma, WA 98406
Phone (602) 393-8292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP5706 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1497936348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 NTH 25TH STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "98406",
"telephone_number": "602-393-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 NTH HIGHLANDS PARKWAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984063226",
"telephone_number": "253-752-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRAZIK",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP5706",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.