Organization Active NPI

Reflex Physical Therapy LLC

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1619120763
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 00010439 Issued in WA
Legal business name
REFLEX PHYSICAL THERAPY LLC
Practice address
1107 Eastside St SE Ste B
Olympia, WA 98501-2442
Phone
(360) 705-0254
Fax
(360) 705-0268
NPI assigned
Nov 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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

Authorized official

Name
Lisa Lynn Hardin, MPT
Title
Member/Owner
Phone
(360) 357-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 00010439 WA Primary

Addresses

Primary practice location

1107 Eastside St SE Ste B
Olympia, WA 98501-2442

Mailing address

1107 Eastside St SE Ste B
Olympia, WA 98501-2442
Phone (360) 705-0254

National Provider Directory

National Provider Directory

Locations

1107 Eastside St SE
Ste B
Olympia, WA 98501
Phone (360) 705-0254

NPI Registry JSON

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

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1619120763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 EASTSIDE ST SE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012442",
            "telephone_number": "360-705-0254",
            "fax_number": "360-705-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EASTSIDE ST SE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012442",
            "telephone_number": "360-705-0254",
            "fax_number": "360-705-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLEX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "360-357-1311",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 00010439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.