Individual provider Active NPI

Patricia Savidge, LMP

  • Mechanotherapist
  • Gig Harbor, WA
National Provider Identifier
1679880298
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA60125162 Issued in WA
Practice address
9111 66TH Ave NW TRLR 133
Gig Harbor, WA 98332-8427
Phone
(928) 301-0126
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60125162 WA Primary
Mechanotherapist 172M00000X MT09112 AZ

Addresses

Primary practice location

9111 66TH Ave NW TRLR 133
Gig Harbor, WA 98332-8427

Mailing address

9111 66TH Ave NW TRLR 133
Gig Harbor, WA 98332-8427
Phone (928) 301-0126

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT09112AZMDMechanotherapist
MA60125162WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1679880298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 66TH AVE NW TRLR 133",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328427",
            "telephone_number": "928-301-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 66TH AVE NW TRLR 133",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328427",
            "telephone_number": "928-301-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVIDGE",
        "first_name": "PATRICIA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60125162",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "AZ",
            "license": "MT09112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.