Organization Active NPI

Port Townsend Chiropractic Center, PS

  • Massage Therapist
  • Port Townsend, WA
National Provider Identifier
1710198999
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020718 Issued in WA
Legal business name
PORT TOWNSEND CHIROPRACTIC CENTER, PS
Practice address
2041 E Sims Way
Port Townsend, WA 98368-6905
Phone
(360) 379-0800
NPI assigned
May 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Edward M Bednarz, D.C.NPI 1043303522
Title
President
Phone
(360) 379-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003295 WA
Massage Therapist 225700000X MA00016240 WA
Massage Therapist 225700000X MA00016328 WA
Massage Therapist 225700000X MA00020718 WA Primary

Addresses

Primary practice location

2041 E Sims Way
Port Townsend, WA 98368-6905

Mailing address

2041 E Sims Way
Port Townsend, WA 98368-6905
Phone (360) 379-0800

Other identifiers 4

IdentifierTypeStateIssuer
121526OtherWAL&I GROUP
2024271MedicaidWA
BE9838OtherWAWA REGENCE
8935706OtherWAL&I CRIME VICTIMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710198999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 E SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-379-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 E SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-379-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND CHIROPRACTIC CENTER, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEDNARZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-379-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003295",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016240",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016328",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP",
            "identifier": "121526",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024271",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA REGENCE",
            "identifier": "BE9838",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "8935706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.