NPIMap

Organization Active NPI

Puget Sound Health and Rehab LLC

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1770034837
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PUGET SOUND HEALTH AND REHAB LLC
Practice address
13215 SE 240TH St Ste D
Kent, WA 98042-5120
Phone
(253) 631-3026
Fax
(253) 631-3899
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Blaine Stimac, PTNPI 1649277567
Title
Managing Member
Phone
(406) 756-1128

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

13215 SE 240TH St Ste D
Kent, WA 98042-5120

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (855) 456-7146

Other names 1

  • OnPoint Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505001880 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426335118 Receives reassigned benefits from 5 practitioners
Practice locations: Kent, WA

National Provider Directory

National Provider Directory

Locations

13215 SE 240th St
Kent, WA 98042
Phone (253) 631-3026

Practitioners & affiliated clinicians

Practitioners 8

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": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1770034837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "855-456-7146",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SE 240TH ST STE D",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425120",
            "telephone_number": "253-631-3026",
            "fax_number": "253-631-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "STIMAC",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "406-756-1128",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnPoint Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnPoint Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.