NPIMap

Organization Active NPI

Shiosaki Physical Therapy, LLC

Doing business as Shiosaki Physical Therapy

  • Physical Therapy Clinic/Center
  • Vashon, WA
National Provider Identifier
1801449939
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SHIOSAKI PHYSICAL THERAPY, LLC
Doing business as
Shiosaki Physical Therapy
Practice address
19001 Vashon Hwy SW
Suite 108
Vashon, WA 98070-5214
Phone
(206) 408-7398
Fax
(206) 259-3107
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Rolanda Lynn Shiosaki, PTNPI 1235358854
Title
Manager/Owner/Physical Therapist
Phone
(206) 408-7398

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

19001 Vashon Hwy SW
Suite 108
Vashon, WA 98070-5214

Mailing address

PO Box 1509
Vashon, WA 98070-1509
Phone (206) 408-7398

Other identifiers 1

IdentifierTypeStateIssuer
1005720MedicaidWA

Other names 1

  • Shiosaki Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

19001 Vashon Hwy SW
Ste 108
Vashon, WA 98070
Phone (206) 408-7398

Practitioners & affiliated clinicians

Practitioners 2

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": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1801449939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980701509",
            "telephone_number": "206-408-7398",
            "fax_number": "206-259-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 VASHON HWY SW",
            "address_2": "SUITE 108",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705214",
            "telephone_number": "206-408-7398",
            "fax_number": "206-259-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIOSAKI PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "SHIOSAKI",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER/OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-408-7398",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005720",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiosaki Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.