Active NPI
Elizabeth Ann Lyter, DPT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008900
- Practice address
- 702 S Hill Park Dr
Puyallup, WA 98373-1426 - Phone
- (253) 604-4953
- Fax
- (253) 604-4956
- NPI assigned
- Jul 13, 2006
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00008900 | WA | Primary |
Addresses
Primary practice location
702 S Hill Park Dr
Puyallup, WA 98373-1426
Mailing address
PO Box 5299
Ms: 737-3-Pcon
Tacoma, WA 98415-0299
Phone (206) 853-2724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8340879 | Medicaid | WA | |
| 912075994 | Other | WA | KITSAP PHYSCIAL THERAPY & |
| 0162829 | Other | WA | L & I |
Other names 1
- Elizabeth Ann Kuipers
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, 2002
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008900 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Puyallup Valley Physical Therapy, Inc. P. S. | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Advanced Integrative Movement, LLC | Physical Therapist | Past | Accepting new patients |
Locations
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
2520 7th St SE
Puyallup, WA 98374
Phone (206) 848-2309
1901 S Cedar St
Ste B1
Tacoma, WA 98405
Phone (253) 272-6910
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Puyallup, WA
- NPI 1619060308
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba AIM Physical Therapy
- Physical Therapist
- Olympia, WA
- NPI 1649389271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1710902275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 737-3-PCON",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299",
"telephone_number": "206-853-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 S HILL PARK DR",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731426",
"telephone_number": "253-604-4953",
"fax_number": "253-604-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYTER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8340879",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KITSAP PHYSCIAL THERAPY &",
"identifier": "912075994",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0162829",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "KUIPERS",
"middle_name": "ANN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 6, 2020; 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.