Individual provider Active NPI

Ryan Koichi Taniguchi, PT

  • Physical Therapist
  • Maple Valley, WA
National Provider Identifier
1619456357
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60851322 Issued in WA
Practice address
26837 Maple Valley Black Diamond Rd SE Ste 200
Maple Valley, WA 98038
Phone
(425) 413-4425
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60851322 WA Primary

Addresses

Primary practice location

26837 Maple Valley Black Diamond Rd SE Ste 200
Maple Valley, WA 98038

Mailing address

6329 N 26TH St Apt B1
Tacoma, WA 98407-1410
Phone (808) 895-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60851322WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Physical Therapy Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Abc Physical Therapy CurrentSince Jul 17, 2023 Accepting new patients

Locations

3309 56th St
Ste 103
Gig Harbor, WA 98335
Phone (253) 564-2220

2315 6th Ave
Tacoma, WA 98403
Phone (253) 564-2220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1619456357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 N 26TH ST APT B1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071410",
            "telephone_number": "808-895-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 200",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "RYAN",
        "middle_name": "KOICHI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60851322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.