Active NPI
Westgate Orthopaedic Physical Therapy and Exercise
- Specialist
- Tacoma, WA
National Provider Identifier
1689701252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 601693379
- Legal business name
- WESTGATE ORTHOPAEDIC PHYSICAL THERAPY AND EXERCISE
- Practice address
- 2102 N Pearl #203
Tacoma, WA 98406-2550 - Phone
- (253) 756-7878
- Fax
- (253) 756-9634
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Erwin Cullinane, P.T. O.C.S
- Title
- Owner/Therapist
- Phone
- (253) 756-7878
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 601693379 | WA | Primary |
Addresses
Primary practice location
2102 N Pearl #203
Tacoma, WA 98406-2550
Mailing address
2102 N Pearl #203
Tacoma, WA 98406-2550
Phone (253) 756-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000454 | WA | Part B Supplier - Clinic/Group Practice | 5799672812 |
Receives reassigned benefits from 5 practitioners Practice locations: Tacoma, WA |
National Provider Directory
National Provider DirectoryLocations
2102 N Pearl St
Ste 203
Tacoma, WA 98406
Phone (253) 756-7878
Practitioners & affiliated clinicians
Practitioners 5
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": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1689701252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 N PEARL #203",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062550",
"telephone_number": "253-756-7878",
"fax_number": "253-756-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N PEARL #203",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062550",
"telephone_number": "253-756-7878",
"fax_number": "253-756-9634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTGATE ORTHOPAEDIC PHYSICAL THERAPY AND EXERCISE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "CULLINANE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ERWIN",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "253-756-7878",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T. O.C.S"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "601693379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.