NPIMap

Organization Active NPI

Physio Movement & Performance, PLLC

  • Physical Therapy Clinic/Center
  • Tacoma, WA
National Provider Identifier
1568096238
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIO MOVEMENT & PERFORMANCE, PLLC
Practice address
615 S Baker St
Tacoma, WA 98402-2318
Phone
(253) 200-0741
Fax
(253) 300-1665
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Ms. Rebecca Sara Rucker, DPTNPI 1922131440
Title
Owner/Physical Therapist
Phone
(253) 200-0741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

615 S Baker St
Tacoma, WA 98402-2318

Mailing address

7719 64TH Ave E
Puyallup, WA 98371-5515
Phone (253) 200-0741

Other practice location 1

7719 64th Ave E
Puyallup, WA 98371-5515
Phone (253) 200-0741

National Provider Directory

National Provider Directory

Locations

615 S Baker St
Tacoma, WA 98402
Phone (253) 200-0741

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1568096238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 64TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715515",
            "telephone_number": "253-200-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S BAKER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022318",
            "telephone_number": "253-200-0741",
            "fax_number": "253-300-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7719 64th Ave E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983715515",
            "country_code": "US",
            "telephone_number": "253-200-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIO MOVEMENT & PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "253-200-0741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "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 Jun 30, 2020; 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.