Prouse Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

00007497 Issued in WA

Legal business name

PROUSE PHYSICAL THERAPY

Practice address

17141 Vashon Hwy SW
Suite 103
Vashon, WA 98070-4603

Phone

(360) 731-1243

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Dyan N Prouse, DR.NPI 1629295282

Title

Owner

Phone

(360) 731-1243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dyan Nicole Prouse, D.P.T.

  • Specialist
  • Vashon, WA
  • NPI 1629295282
  Medicare reassignment Care Compare group Authorized official
• Carrie A Chambers, PT

  • Physical Therapist
  • Vashon, WA
  • NPI 1265451538
  Medicare reassignment Care Compare group NPD
• Jane Talcott, P.T.

  • Physical Therapist
  • Seattle, WA
  • NPI 1588627079
  Medicare reassignment Care Compare group NPD
• Emma Woodbrook

  • Physical Therapist
  • Des Moines, WA
  • NPI 1518553049
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1730582693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17141 VASHON HWY SW",
            "address_2": "SUITE 103",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704603",
            "telephone_number": "360-731-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUSE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "PROUSE",
        "authorized_official_first_name": "DYAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-731-1243",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "00007497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Christine Perry, LMT
• Stacey Peyer
• Patrick Phelan, MA
• Laura Pierce, LM CPM
• Spencer Lee Proffit, BS
• Dyan Nicole Prouse, D.P.T.
• Levin Pugsley, L.M.P
• Leif T Rasmussen, DDS
• Nolan S Reis
• Ciaralyn Scarlett Richardson

• Physical Therapy Clinic/Center in Vashon, WA
• Providers in Vashon, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.