Organization Active NPI

Compass Manual Therapy, LLC

  • Physical Therapist
  • Oak Harbor, WA
National Provider Identifier
1740406388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMPASS MANUAL THERAPY, LLC
Practice address
520 E Whidbey Ave
Ste 102
Oak Harbor, WA 98277-5922
Phone
(360) 675-9030
Fax
(360) 675-2204
NPI assigned
Apr 18, 2007
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
Phillip M Renninger, MPTNPI 1174633382
Title
Owner
Phone
(360) 675-9030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

520 E Whidbey Ave
Ste 102
Oak Harbor, WA 98277-5922

Mailing address

520 E Whidbey Ave
Ste 102
Oak Harbor, WA 98277-5922
Phone (360) 675-9030

National Provider Directory

National Provider Directory

Locations

520 E Whidbey Ave
Ste 102
Oak Harbor, WA 98277
Phone (360) 675-9030

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740406388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E WHIDBEY AVE",
            "address_2": "STE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775922",
            "telephone_number": "360-675-9030",
            "fax_number": "360-675-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WHIDBEY AVE",
            "address_2": "STE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775922",
            "telephone_number": "360-675-9030",
            "fax_number": "360-675-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MANUAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNINGER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-675-9030",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, 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.