Simonetti Physical Therapy Incorporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT00002344 Issued in WA

Legal business name

SIMONETTI PHYSICAL THERAPY INCORPORATION

Practice address

4044 15TH LN SE
Suite B
Lacey, WA 98503-6962

Phone

(360) 456-5154

Fax

(360) 456-0844

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah May Simonetti, P.T.

Title

Owner Operator

Phone

(360) 456-5154

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Laurel Andvik Backstrom, P.T.

  • Physical Therapist
  • Lacey, WA
  • NPI 1790124311
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1700097649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 15TH LN SE",
            "address_2": "SUITE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036962",
            "telephone_number": "360-456-5154",
            "fax_number": "360-456-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 15TH LN SE",
            "address_2": "SUITE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036962",
            "telephone_number": "360-456-5154",
            "fax_number": "360-456-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONETTI PHYSICAL THERAPY INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMONETTI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER  OPERATOR",
        "authorized_official_telephone_number": "360-456-5154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00002344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071855",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clair Nicole Short
• Arsen Shrestha, PA-C
• Mimi L Silver, LCSW
• Mark Ryan Simmonds, D.C.
• Azaria Simmons
• Deborah May Simonetti, PT
• Simply Thrive Psychotherapy PLLC
• Myrna N Simpson, RN
• Sean S Sipe, PT, DPT, SCS
• Lori A Sirs, LICSW

• Specialist in Lacey, WA
• Providers in Lacey, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.