Physiotherapy Associates Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Doing business as

Select Physical Therapy

Practice address

27005 Pacific Hwy S
Des Moines, WA 98198-9250

Phone

(253) 839-9280

Fax

(253) 839-9375

NPI assigned

Jun 5, 2006

Last updated

Oct 24, 2025By 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

John F Duggan

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Select Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578502985. Details of each certification follow.

• CCN 506560 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 506560

Legal name

SELECT PHYSICAL THERAPY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 26, 1997

Last certification

Dec 13, 2022

Ownership / control type

Proprietary

Facility address

27005 Pacific Highway South
Des Moines, WA 98198

Other NPIs on the same Medicare enrollment 1

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

• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Burien, WA
  • NPI 1699713628

  O20050404000348

  Same enrollment

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 9

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.

• Yun Duan, PT

  • Physical Therapist
  • Des Moines, WA
  • NPI 1538581921
  NPD (past)
• Shannon Kay Herber

  • Physical Therapy Assistant
  • Des Moines, WA
  • NPI 1982825873
  NPD (past)
• Michele D Jackson, D.P.T.

  • Physical Therapist
  • Des Moines, WA
  • NPI 1033214291
  NPD (past)
• Ellen Murphy, PT, DPT

  • Physical Therapist
  • Des Moines, WA
  • NPI 1114585361
  NPD (past)
• Samantha Prevot

  • Physical Therapy Assistant
  • Des Moines, WA
  • NPI 1588054506
  NPD (past)
• Suanna Slone, PTA

  • Physical Therapy Assistant
  • Des Moines, WA
  • NPI 1134224678
  NPD (past)
• Kelly Stockdale-Nielsen, PT

  • Physical Therapist
  • Des Moines, WA
  • NPI 1568562650
  NPD (past)
• Carol Walter, PTA

  • Physical Therapist
  • Des Moines, WA
  • NPI 1144637471
  NPD (past)
• Tiffany Sam Jacobs

  • Physical Therapist
  • Salem, MA
  • NPI 1194458703
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1578502985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "253-839-9280",
            "fax_number": "253-839-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "34780",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7036452",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Pearson
• Jazmin Peraza Castaneda
• Jo Ann Marie Paete Perez, P.T.
• Athena Peterson, LMP
• Barry Douglas Peyton, D.D.S., M.S.
• Maureen Casandra Pierce, PH.D.
• Pinebrooks Afh Inc
• Kathryn Piontsak
• Tarynn Eileen Playle, LMP
• Kiana Podratz

• Rehabilitation Clinic/Center in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.