Active NPI
Roots Physical Therapy
- Physical Therapy Clinic/Center
- Ellensburg, WA
National Provider Identifier
1760164990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ROOTS PHYSICAL THERAPY
- Practice address
- 301 W 2ND Ave
Ellensburg, WA 98926-3014 - Phone
- (509) 899-0950
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaung Ko, PT
- Title
- Owner
- Phone
- (509) 899-0950
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
301 W 2ND Ave
Ellensburg, WA 98926-3014
Mailing address
715 E Tacoma Ave
Ellensburg, WA 98926-3817
National Provider Directory
National Provider DirectoryLocations
301 W 2nd Ave
Ellensburg, WA 98926
Phone (509) 899-0950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wenatchee, WA
- NPI 1902385842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1760164990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 E TACOMA AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W 2ND AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263014",
"telephone_number": "509-899-0950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTS PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "KO",
"authorized_official_first_name": "KAUNG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-899-0950",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.