NPIMap

Organization Active NPI

Mti Physical Therapy Tacoma

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1508086331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MTI PHYSICAL THERAPY TACOMA
Practice address
7800 Pacific Ave Ste 8
Tacoma, WA 98408-7050
Phone
(253) 471-7200
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan Stephan, PT
Title
Clinic Director PT
Phone
(253) 471-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

7800 Pacific Ave Ste 8
Tacoma, WA 98408-7050

Mailing address

7800 Pacific Ave Ste 8
Tacoma, WA 98408-7050
Phone (253) 471-7200

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508086331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PACIFIC AVE STE 8",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087050",
            "telephone_number": "253-471-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 PACIFIC AVE STE 8",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087050",
            "telephone_number": "253-471-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTI PHYSICAL THERAPY TACOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR PT",
        "authorized_official_telephone_number": "253-471-7200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 21, 2022; 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.