Pro Plus Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008727 Issued in WA

Legal business name

PRO PLUS PHYSICAL THERAPY

Practice address

250-C Westlake Avenue
Morton, WA 98356-0145

Phone

(360) 496-0087

NPI assigned

Oct 3, 2007

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darla Sue Carbaugh, P.T.NPI 1104048453

Title

Physical Therapist/Owner

Phone

(360) 496-0087

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darla Sue Carbaugh, PT

  • Physical Therapist
  • Morton, WA
  • NPI 1104048453
  NPD (past) Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1801083829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560145",
            "telephone_number": "360-496-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250-C WESTLAKE AVENUE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560145",
            "telephone_number": "360-496-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PLUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CARBAUGH",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "360-496-0087",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fabiola Eloisa Puga Duenas, MD
• Laura Ann Richardson, LMP
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• Tracy Shepard, LMP
• Hailey Nichole Stevens, RDH

• Physical Therapist in Morton, WA
• Providers in Morton, WA by specialty
• Physical Therapist in Washington

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