Rediclinic of Wa, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REDICLINIC OF WA, LLC

Practice address

9502 176TH St E
Puyallup, WA 98375-9300

Phone

(713) 335-1742

Fax

(713) 358-4881

NPI assigned

May 4, 2015

Last updated

May 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Barrera

Title

Chief Operating Officer

Phone

(713) 580-9489

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Aditi Agarwal, RPH

  • Pharmacist
  • Woodinville, WA
  • NPI 1528393352
  NPD (past)
• Doan-Si Bui, PHARM.D.

  • Pharmacist
  • Woodinville, WA
  • NPI 1326496498
  NPD (past)
• Clausy Sabine Gregg, VA60015439

  • Pharmacy Technician
  • Woodinville, WA
  • NPI 1093382483
  NPD (past)

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1528445160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ",
            "address_2": "STE. 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460905",
            "telephone_number": "713-335-1754",
            "fax_number": "713-358-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 176TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759300",
            "telephone_number": "713-335-1742",
            "fax_number": "713-358-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDICLINIC OF WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "713-580-9489"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Beutler LLC
• Rebecca Schiltz Therapy LLC
• Maryam Arneris Rebisz, PT
• Jenet Kristin Redfern
• Allyson Redford
• John Benjamin Redito, DPT
• Marie Bailey Reed, B.S., P.T.
• Robin R Reed, LMP
• Tyus X Reed
• Whitney Reehm, MS. LMFT

• Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.