Individual provider Active NPI

Jeffrey Billingsley, PT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1710071147
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007043 Issued in WA
Practice address
2520 7TH St SE
Puyallup, WA 98374-1105
Phone
(253) 848-2309
Fax
(253) 848-8407
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007043 WA Primary

Addresses

Primary practice location

2520 7TH St SE
Puyallup, WA 98374-1105

Mailing address

2520 7TH St SE
Puyallup, WA 98374-1105
Phone (253) 848-2309

Other identifiers 2

IdentifierTypeStateIssuer
7206204MedicaidWA
BI5924OtherWAREGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000737 WA Practitioner - Physical Therapist in Private Practice 3971765264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puyallup Valley Physical Therapy Inc PSGroup PAC ID 7517952914, 11 clinicians

Practice addresses (Care Compare)

2520 7TH St SE
Puyallup, WA 98374-1105
Phone (253) 848-2309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Puyallup Valley Physical Therapy, Inc. P. S. Physical Therapist CurrentSince Oct 2, 2002 Accepting new patients

Locations

2520 7th St SE
Puyallup, WA 98374
Phone (206) 848-2309

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1710071147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105",
            "telephone_number": "253-848-2309",
            "fax_number": "253-848-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105",
            "telephone_number": "253-848-2309",
            "fax_number": "253-848-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGSLEY",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7206204",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "BI5924",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.