Active NPI
Jeffrey Billingsley, PT
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1710071147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7206204 | Medicaid | WA | |
| BI5924 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puyallup Valley Physical Therapy, Inc. P. S. | Physical Therapist | Current | 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.
-
- Orthopedic Physical Therapist
- Puyallup, WA
- NPI 1619060308
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.