Rainbow Rehab,PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005135 Issued in WA

Legal business name

RAINBOW REHAB,PLLC

Practice address

8907 Gravelly Lake Dr SW
Ste a
Lakewood, WA 98499

Phone

(253) 589-9600

Fax

(253) 589-9610

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marsha K Hiller, PTNPI 1336212760

Title

Owner

Phone

(253) 589-9600

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Marsha K Hiller Doing business as

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.

• Marsha K. Hiller, PT

  • Physical Therapist
  • Lakewood, WA
  • NPI 1336212760
  Medicare reassignment NPD Authorized official
• Laurie Ann Burkhart, MPT

  • Physical Therapist
  • University Place, WA
  • NPI 1154450245
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700959749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 GRAVELLY LAKE DR SW",
            "address_2": "STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-589-9600",
            "fax_number": "253-589-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 GRAVELLY LAKE DR SW",
            "address_2": "STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-589-9600",
            "fax_number": "253-589-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW REHAB,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-589-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133358",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11550913",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0205655",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marsha K Hiller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Lakewood, WA
• Providers in Lakewood, 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 22, 2020; 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.