Tamarack Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009037 Issued in WA

Legal business name

TAMARACK PHYSICAL THERAPY, INC

Practice address

602 W 2ND St
Cle Elum, WA 98922-1020

Phone

(509) 306-5105

Fax

(800) 589-7414

NPI assigned

Jul 21, 2017

Last updated

May 24, 2024By 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

Corey T Williams, MPTNPI 1841253655

Title

Owner/Presient

Phone

(509) 306-5105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Erin M Krekling, PT

  • Physical Therapist
  • Cle Elum, WA
  • NPI 1235807876
  Medicare reassignment NPD
• Corey Traynor Williams, MPT

  • Physical Therapist
  • Cle Elum, WA
  • NPI 1841253655
  Authorized official Same address or phone

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1609399583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 1ST ST STE B",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221246",
            "telephone_number": "425-876-8653",
            "fax_number": "888-538-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W 2ND ST",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221020",
            "telephone_number": "509-306-5105",
            "fax_number": "800-589-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIENT",
        "authorized_official_telephone_number": "509-306-5105",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Cle Elum, WA
• Providers in Cle Elum, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.