Individual provider Active NPI

William R Pfister Jr., PT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1780619239
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000997 Issued in WA
Practice address
1707 3Rd St SE
Puyallup, WA 98372
Phone
(253) 841-3041
Fax
(253) 841-3061
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000997 WA Primary

Addresses

Primary practice location

1707 3Rd St SE
Puyallup, WA 98372

Mailing address

11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461
Phone (425) 450-9474

Other identifiers 1

IdentifierTypeStateIssuer
8445173MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000633 WA Practitioner - Physical Therapist in Private Practice 4385541234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Experience Physical TherapyGroup PAC ID 7214458843, 2 clinicians

Practice addresses (Care Compare)

12020 Meridian E
Suite a
Puyallup, WA 98373-3401
Phone (253) 303-1042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000997WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Lake Sammamish Physical Therapy, PLLC Physical Therapist CurrentSince Jan 22, 2020 Accepting new patients
Experience Physical Therapy Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist PastSince Jan 22, 2020 Accepting new patients
Peak Performance Physical Therapy Inc PastSince Dec 1, 2010 Accepting new patients

Locations

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

400 Main Ave S
North Bend, WA 98045
Phone (425) 888-1156

1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355

17528 Meridian E
Ste 205
Puyallup, WA 98375
Phone (253) 256-4807

12020 Meridian E
Ste A
Puyallup, WA 98373
Phone (253) 303-1042

3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258

906 NE 45th St
Seattle, WA 98105
Phone (206) 347-0414

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1780619239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98372",
            "telephone_number": "253-841-3041",
            "fax_number": "253-841-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT0000997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8445173",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.