Organization Active NPI

Bring Motion Back, Inc.

  • Physical Therapist
  • Lacey, WA
National Provider Identifier
1619297470
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009567 Issued in WA
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

Updated by the provider on Jun 4, 2010

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT00009567 WA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.