Convergent Therapies, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60423749 Issued in WA

Legal business name

CONVERGENT THERAPIES, PLLC

Practice address

3214 50TH St CT NW
Suite 205-C
Gig Harbor, WA 98335

Phone

(253) 254-5653

Fax

(253) 235-3656

NPI assigned

Jan 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Luther Khanh Chau, DC, LMPNPI 1649324161

Title

Ceo

Phone

(253) 254-5653

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luther Khanh Chau, DC, LMP

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1649324161
  Medicare reassignment Authorized official
• Tanya Wendleton, LMP

  • Massage Therapist
  • Gig Harbor, WA
  • NPI 1215176169
  NPD (past)

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1801072574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 50TH ST CT NW",
            "address_2": "SUITE 205-C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-254-5653",
            "fax_number": "253-235-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 50TH ST CT NW",
            "address_2": "SUITE 205-C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-254-5653",
            "fax_number": "253-235-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENT THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "KHANH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-254-5653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC, LMP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60423749",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649324161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801072574",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Comstock, MS, CCC-SLP
• Chiara Duenas Concepcion
• Concierge Pediatrics PLLC (KiDS 0 to 18 Integrative Pediatrics)
• Michael Robert Conger, M.D
• Connect Neuropsychology, PLLC
• Amy Elizabeth Coonan, LMP
• Nicole Ruth Ke'Ala Coraggio, LM
• Leana Cordova
• Emily Corgan, PHARMD
• Hannah Kaelin Cornish, DPT

• Chiropractor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.