Family Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007252 Issued in WA

Legal business name

FAMILY PHYSICAL THERAPY PLLC

Practice address

864 Cole St
Enumclaw, WA 98022-2549

Phone

(360) 825-2210

Fax

(360) 825-1126

NPI assigned

Jun 23, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda HassenauerNPI 1497784482

Title

Owner

Phone

(360) 825-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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.

• Linda Hassenauer

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1497784482
  Medicare reassignment Care Compare group NPD Authorized official
• Keira Lynn Uphaus, DPT

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1134797921
  Medicare reassignment Care Compare group NPD
• Carrie Morgan, PT, DPT

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1164297628
  Medicare reassignment NPD

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1669678975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222549",
            "telephone_number": "360-825-2210",
            "fax_number": "360-825-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222549",
            "telephone_number": "360-825-2210",
            "fax_number": "360-825-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-23",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HASSENAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-825-2210"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Erickson, PA-C
• Kelli Michelle Espinosa
• Katie Etherington, CNM, WHNP-BC
• Evergreen Eye Center, PLLC (Evergreen Eye Center)
• Evergreen Washington Healthcare Enumclaw, L.L.C. (Enumclaw Health and Rehabilitation Center)
• Fang Acupuncture Clinic
• Carrie Fang, L.A.
• Kelly Ferguson
• Laura Ferrel
• Aimee Lynn Filipowicz, L.M.P.

• Physical Therapist in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.