Peninsula Pediatric Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT00003270 Issued in WA

Legal business name

PENINSULA PEDIATRIC THERAPY, LLC

Doing business as

Peninsula Pediatric Therapy

Practice address

6659 Kimball Dr
Suite C 303
Gig Harbor, WA 98335-5137

Phone

(253) 857-5437

Fax

(253) 857-5497

NPI assigned

Oct 13, 2006

Last updated

Dec 22, 2009By 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

Lawrence J MurrayNPI 1164654240

Title

Physical Therapist

Phone

(253) 857-5437

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Peninsula Pediatric Therapy Doing business as

Locations

Practitioners 4

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.

• Lawrence Murray

  • Pediatric Physical Therapist
  • Gig Harbor, WA
  • NPI 1164654240

  Pediatrics

  NPD (past) Authorized official
• Johnna Belter, PTA

  • Physical Therapy Assistant
  • Gig Harbor, WA
  • NPI 1538403373
  NPD (past)
• Margaret Royce, PT

  • Pediatric Physical Therapist
  • Gig Harbor, WA
  • NPI 1649460155

  Pediatrics

  NPD (past)
• Whitney Kathleen Young

  • Pediatric Physical Therapist
  • Gig Harbor, WA
  • NPI 1952588584

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1588754386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "SUITE C 303",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-857-5437",
            "fax_number": "253-857-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR",
            "address_2": "SUITE C 303",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355137",
            "telephone_number": "253-857-5437",
            "fax_number": "253-857-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "253-857-5437"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT00003270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "MU7914",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7025612",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7206729",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peninsula Dermatology & Laser Clinic PLLC
• Peninsula Family Medical Center
• Peninsula Hearing Tech (Peninsula Audiology and Hearing Aids)
• Peninsula Internal Medicine Associates PS
• Peninsula Natural Health Clinic, Inc. (Peninsula Naturopathic Clinic)
• Peninsula Rad Onc Ctr LLC
• Peninsula School District
• Peninsula Structural Medicine (Inner Space Structural Medicine)
• Paige Pereira, MSW
• Yanira Perez, M.D.

• Pediatric Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.