Outpatient Physical Therapy & Sports Rehabilitation Inc PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION INC PC

Practice address

26837 Maple Valley Black Diamond Rd SE
Ste #201
Maple Valley, WA 98038-9917

Phone

(425) 413-4427

Fax

(425) 413-4429

NPI assigned

May 14, 2007

Last updated

Mar 16, 2016By 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

Zach Steele

Title

President

Phone

(425) 413-4427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Outpatient Physical Therapy & Sports Rehabilitation Inc PC

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1730394420

  O20031119000148

  Same enrollment

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1558576256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "STE #201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980389917",
            "telephone_number": "425-413-4427",
            "fax_number": "425-413-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "STE #201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980389917",
            "telephone_number": "425-413-4427",
            "fax_number": "425-413-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PHYSICAL THERAPY & SPORTS REHABILITATION INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-413-4427"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osteopathic Medical Services Inc P.S. (Country Doctor Clinic)
• Osteopathic Medical Services Inc PS
• Brandy L Oto, LMHC, CDP
• Isaiah F Oto, SUDPT
• Billie Jean Otter, O.T.
• Outpatient Physical Therapy & Sports Rehabilitation Inc PC
• Yefri Ramiro Pacheco
• Min Paek, DMD
• Dinesh Vasudev Pai, MD
• Carly Jean Palady Klee, LICSW

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.