Organization Active NPI

Loomis Restorative Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Port Townsend, WA
National Provider Identifier
1659852705
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LOOMIS RESTORATIVE PHYSICAL THERAPY, INC.
Practice address
1233 Lawrence St
Port Townsend, WA 98368-6554
Phone
(970) 846-1330
NPI assigned
Aug 27, 2018
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Stephanie J LoomisNPI 1801017330
Title
President
Phone
(970) 846-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1233 Lawrence St
Port Townsend, WA 98368-6554

Mailing address

1925 Eddy St
Port Townsend, WA 98368-5941
Phone (970) 846-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106001395 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769735745 Receives reassigned benefits from 1 practitioner
Practice locations: Port Townsend, WA

National Provider Directory

National Provider Directory

Locations

1233 Lawrence St
Port Townsend, WA 98368
Phone (360) 370-3005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1659852705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 EDDY ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983685941",
            "telephone_number": "970-846-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "970-846-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOMIS RESTORATIVE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-846-1330"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.