PT Elite, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7335 Issued in WA

Legal business name

PT ELITE, INC.

Practice address

222 NE Park Plaza Dr
Suite 120
Vancouver, WA 98684-5895

Phone

(360) 253-8285

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Michelle Kathryn Tonkinson, P.T.

Title

Director

Phone

(360) 253-8285

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1770743023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NE PARK PLAZA DR",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845895",
            "telephone_number": "360-253-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NE PARK PLAZA DR",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845895",
            "telephone_number": "360-253-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT ELITE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "TONKINSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-253-8285",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "7335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "508460000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "O9I009",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7142904",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON LABOR DEPT",
            "identifier": "0236747",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pruitt
• Brianna Marie Prutz
• Tameca Vernee Pryce
• Inness Pryor, LMHC, SUDPT
• Psyche Wellbeing
• Puariea Chiropractic Center
• William H Puckett, MSW
• Maria De Los Angeles Puente Maldonado, DOULA
• Ivan Puente Roca, RDA
• Laurel Puffert

• Physical Therapy Clinic/Center in Vancouver, WA
• Providers in Vancouver, 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 Jul 29, 2008; 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.