NPIMap

Organization Active NPI

Tacoma Physical Therapy Inc PS

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1841267242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000920 Issued in WA
Legal business name
TACOMA PHYSICAL THERAPY INC PS
Practice address
2302 S Union Ave
Suite B-10
Tacoma, WA 98405-1300
Phone
(253) 752-9303
Fax
(253) 756-7175
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gerald Scott Coleman, PTNPI 1902806862
Title
PT/Owner
Phone
(253) 752-9303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00000920 WA Primary

Addresses

Primary practice location

2302 S Union Ave
Suite B-10
Tacoma, WA 98405-1300

Mailing address

2302 S Union Ave
Suite B-10
Tacoma, WA 98405-1300
Phone (253) 752-9303

Other identifiers 2

IdentifierTypeStateIssuer
7011869MedicaidWA
97699OtherWAL&I PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841267242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "SUITE B-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-9303",
            "fax_number": "253-756-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "SUITE B-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-9303",
            "fax_number": "253-756-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA PHYSICAL THERAPY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "253-752-9303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7011869",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER #",
            "identifier": "97699",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.