Organization Active NPI

Reunion Physical Therapy PS

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1720169329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003144 Issued in WA
Legal business name
REUNION PHYSICAL THERAPY PS
Practice address
1802 S Union Avenue
#100
Tacoma, WA 98405-1947
Phone
(253) 756-8668
Fax
(253) 759-5138
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Niel Brown, PHYSICAL THERAPIST
Title
Owner President
Phone
(253) 756-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00003144 WA Primary

Addresses

Primary practice location

1802 S Union Avenue
#100
Tacoma, WA 98405-1947

Mailing address

1802 S Union Avenue
#100
Tacoma, WA 98405-1947
Phone (253) 756-8668

Other identifiers 1

IdentifierTypeStateIssuer
7071921MedicaidWA

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720169329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S UNION AVENUE",
            "address_2": "#100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051947",
            "telephone_number": "253-756-8668",
            "fax_number": "253-759-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S UNION AVENUE",
            "address_2": "#100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051947",
            "telephone_number": "253-756-8668",
            "fax_number": "253-759-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUNION PHYSICAL THERAPY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NIEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "253-756-8668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071921",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.