Active NPI
Rene Andre Palanca
- Physical Therapist
- Federal Way, WA
National Provider Identifier
1760879746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60385502
- Practice address
- 31003 14TH Ave S
Apt D-5
Federal Way, WA 98003-4719 - Phone
- (425) 306-4461
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60385502 | WA | Primary |
Addresses
Primary practice location
31003 14TH Ave S
Apt D-5
Federal Way, WA 98003-4719
Mailing address
31003 14TH Ave S
Apt D-5
Federal Way, WA 98003-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60385502 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1760879746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31003 14TH AVE S",
"address_2": "APT D-5",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31003 14TH AVE S",
"address_2": "APT D-5",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034719",
"telephone_number": "425-306-4461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANCA",
"first_name": "RENE ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60385502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.