Physical Therapy Specialists, PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006372 Issued in WA

Legal business name

PHYSICAL THERAPY SPECIALISTS, PS

Practice address

Physical Therapy Specialists
1152 Douglas St
Longview, WA 98632

Phone

(360) 423-1113

Fax

(360) 423-1115

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Robert M Boney, MSPT

Title

Owner Physical Therapist

Phone

(360) 423-1113

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1699835645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHYSICAL THERAPY SPECIALISTS",
            "address_2": "PO BOX 2369",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-1113",
            "fax_number": "360-423-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICAL THERAPY SPECIALISTS",
            "address_2": "1152 DOUGLAS ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-1113",
            "fax_number": "360-423-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "BONEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-423-1113",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107972",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0130397",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Phillips, ARNP
• Sandra M Phillips, RC
• Sheri Lee Phillips, RN
• Todd A Phillips, MD
• Wesley Phipps, R-AAC, CPC
• Erik Thomas Pihl
• Shannon Pinkston, FNP-C
• Michael Pinto
• Corrie Piper, M.S.
• Kendra Piper

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.