Organization Active NPI

Birth to Three Developmental Center

  • Physical Therapy Clinic/Center
  • Federal Way, WA
National Provider Identifier
1609936624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BIRTH TO THREE DEVELOPMENTAL CENTER
Practice address
35535 6TH PL SW
Federal Way, WA 98023
Phone
(253) 874-5445
Fax
(253) 874-0687
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryanne Barnes
Title
Executive Director
Phone
(253) 874-5445

Specialties & licenses 1

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

Addresses

Primary practice location

35535 6TH PL SW
Federal Way, WA 98023

Mailing address

PO Box 24269
Federal Way, WA 98093-1269
Phone (253) 874-5445

Other identifiers 3

IdentifierTypeStateIssuer
7028152MedicaidWA
7680119MedicaidWA
7021033MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609936624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24269",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980931269",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35535 6TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH TO THREE DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-874-5445"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7028152",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7680119",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7021033",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

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