David A Judish, M.D.

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Puyallup, WA

NPI 1720030802 · NPPES record last updated Jul 21, 2026

Key facts

NPI
1720030802
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
MD00030064 (WA)
Practice address
611 31St Ave SW
Puyallup, WA 98373-3723
Phone
(253) 848-5951
Fax
(253) 845-7073
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physical Medicine and Rehabilitation
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Hill Family Medicine PC (67 clinicians)

Practice addresses (Care Compare)

611 31St Ave SW
Suite C
Puyallup, WA 98373-3723
Phone (253) 848-5951

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital · Puyallup, WA · CCN 500079

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040406001629 WA Practitioner - Physical Medicine and Rehabilitation 8426040056 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Rehabilitation Associates, PLLC Physical Medicine & Rehabilitation Current
since Jan 1, 2004
Accepting new patients
South Hill Family Medicine PC Current
since Apr 25, 2022
Accepting new patients

Locations

611 31st Ave SW
Ste C
Puyallup, WA 98373
Phone (253) 848-5951

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

8012 112th Street Ct E
Ste 120
Puyallup, WA 98373
Phone (253) 286-2711

611 31st Ave SW
Puyallup, WA 98373
Phone (253) 445-7100

Interoperability endpoints

  • Direct secure messaging: djudishmd2009@direct.multicare.org
  • Direct secure messaging: djudish64294@direct.tecmc.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD00030064 WA Yes

Addresses

Primary practice location

611 31St Ave SW
Puyallup, WA 98373-3723

Mailing address

611 31St Ave SW
Puyallup, WA 98373-3723
Phone (253) 848-5951

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2026.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1720030802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 31ST AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733723",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 31ST AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733723",
            "telephone_number": "253-848-5951",
            "fax_number": "253-845-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDISH",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00030064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

All providers in Puyallup, WA · Physical Medicine & Rehabilitation Physician in Washington

Sources for this page

Verify at the official NPI Registry.