Total Health Corporation

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00007816 Issued in WA

Legal business name

TOTAL HEALTH CORPORATION

Doing business as

Total Health Physical Therapy

Practice address

2142 W Railroad Ave
Suite a
Shelton, WA 98584-7813

Phone

(360) 426-0175

Fax

(360) 432-2193

NPI assigned

Dec 19, 2006

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Alan Fulling, MS,PTNPI 1235307000

Title

Owner

Phone

(360) 432-2193

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Total Health Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Gregory Alan Fulling, MS PT

  • Physical Therapist
  • Shelton, WA
  • NPI 1235307000
  Medicare reassignment NPD Authorized official
• William E Ottaviani, MS, PT

  • Physical Therapist
  • Eatonville, WA
  • NPI 1447269196
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1730242884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "address_2": "SUITE A",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "360-426-0175",
            "fax_number": "360-432-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W RAILROAD AVE",
            "address_2": "SUITE A",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847813",
            "telephone_number": "360-426-0175",
            "fax_number": "360-432-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "FULLING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-432-2193",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00007816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "125536",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8347130",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7095037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Marie Tomiyasu
• Andrew Peter Tonder, COTA/L
• Jason Nicholas Toothman, MA
• Ase Torjussen, SUDP
• Lori Tornquist
• Total Renal Care, Inc. (Mason County Dialysis)
• Yvonne Maria Trejo
• Srinivasa Rao Tummala, PHD
• Julie M. Turner, LMP
• Britni Rene Twidwell

• Orthopedic Physical Therapist in Shelton, WA
• Providers in Shelton, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.