NPIMap

Organization Active NPI

Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1710330378
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPY MANAGEMENT SERVICES, PLLC
Practice address
15600 NE 8TH St Ste A3
Bellevue, WA 98008-3917
Phone
(425) 502-7081
Fax
(425) 679-6902
NPI assigned
Jul 19, 2016
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Dwan Diaz
Title
Credentialing Coordinator
Phone
(425) 450-9474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

15600 NE 8TH St Ste A3
Bellevue, WA 98008-3917

Mailing address

11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461
Phone (425) 450-9474

Other practice location 1

1299 156th Ave NE Ste 125
Bellevue, WA 98007-7562
Phone (425) 502-7081

Other names 2

  • Crossroads Physical Therapy Other name
  • RET Physical Therapy and Healthcare Specialists Bellevue Crossroads Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213001176 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143500983 Receives reassigned benefits from 173 practitioners
16 other NPIs on this enrollment
Practice locations: Marysville, WA; Mercer Island, WA; Mount Vernon, WA; North Bend, WA; Puyallup, WA; Redmond, WA; Seattle, WA; Sedro Woolley, WA…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Therapy Management Services PLLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Practitioners & affiliated clinicians

Practitioners 186

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.

View all 186

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1710330378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE A3",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083917",
            "telephone_number": "425-502-7081",
            "fax_number": "425-679-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 156th Ave NE Ste 125",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980077562",
            "country_code": "US",
            "telephone_number": "425-502-7081",
            "fax_number": "425-679-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "425-450-9474"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RET Physical Therapy and Healthcare Specialists Bellevue Crossroads",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.