Carolyn S Jorgensen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003420 Issued in WA

Practice address

201 160TH St S
Suite 301
Spanaway, WA 98387-8508

Phone

(253) 531-4100

Fax

(253) 531-3795

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841274867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 160TH ST S",
            "address_2": "SUITE 301",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878508",
            "telephone_number": "253-531-4100",
            "fax_number": "253-531-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 160TH ST S",
            "address_2": "SUITE 301",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878508",
            "telephone_number": "253-531-4100",
            "fax_number": "253-531-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334377",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "JO2103",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE WORKERS COMP #",
            "identifier": "59042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Johnson, ARNP
• Ann Katherine Johnson, M.S., CF-SLP
• Derek Robert Johnson, DPT
• Keeley Marie Johnson, ARNP
• Brandy Jordan
• Heather Diane Julian, R.N.
• Misun Carolyn Jung Ho Kim
• K.Lee, DDS, PLLC.
• Kisakye Kafeero
• Deiter Michael Kaizer, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.