Active NPI
Bring Motion Back, Inc.
- Physical Therapist
- Lacey, WA
National Provider Identifier
1619297470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009567
- Legal business name
- BRING MOTION BACK, INC.
- Practice address
- 8650 Martin Way E
Suite #1
Lacey, WA 98516-6610 - Phone
- (360) 970-4817
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gail W Baudendistel, LPT
- Title
- President/LPT
- Phone
- (360) 970-4817
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009567 | WA | Primary |
| Occupational Therapist | 225X00000X | OT00001630 | WA |
Addresses
Primary practice location
8650 Martin Way E
Suite #1
Lacey, WA 98516-6610
Mailing address
PO Box 11128
Olympia, WA 98508-1128
Phone (360) 970-4817
National Provider Directory
National Provider DirectoryLocations
8650 Martin Way E
Ste 1
Lacey, WA 98516
Phone (360) 970-4817
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Olympia, WA
- NPI 1497071344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1619297470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11128",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985081128",
"telephone_number": "360-970-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 MARTIN WAY E",
"address_2": "SUITE #1",
"city": "LACEY",
"state": "WA",
"postal_code": "985166610",
"telephone_number": "360-970-4817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRING MOTION BACK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "BAUDENDISTEL",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT/LPT",
"authorized_official_telephone_number": "360-970-4817",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009567",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001630",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.