Personal Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00008664 Issued in WA

Legal business name

PERSONAL PHYSICAL THERAPY LLC

Practice address

702 Jadwin Ave Ste a
Richland, WA 99352-4256

Phone

(509) 946-9007

Fax

(509) 946-9755

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Mariusz Stawowski, PTNPI 1225005556

Title

Officer

Phone

(509) 946-9007

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariusz Stawowski, PT

  • Orthopedic Physical Therapist
  • Richland, WA
  • NPI 1225005556
  Medicare reassignment NPD Authorized official
• Jon R. Filkowski

  • Physical Therapist
  • Richland, WA
  • NPI 1366793929
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1689854366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JADWIN AVE STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524256",
            "telephone_number": "509-946-9007",
            "fax_number": "509-946-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JADWIN AVE STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524256",
            "telephone_number": "509-946-9007",
            "fax_number": "509-946-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "STAWOWSKI",
        "authorized_official_first_name": "MARIUSZ",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "509-946-9007",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00008664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0195507",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136021",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Perkins
• Chadwick Jay Perry, PA C
• Katherine Newhall Perry, M.D.
• Kyle Thomas Perry, DPT
• Nickole Michelle Perry, ARNP
• Teena Pervaiz, MD
• Samuel David Pesch, MD
• Peter E Seda MD Facc PS Mid Columbia Heart and Lung Institute
• Andrew Scott Peterson, PTA
• Pamela Peterson, RN

• Physical Therapy Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.