Active NPI
Nathan Pierre Pippert
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1841436334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P160042874
- Practice address
- 5520 Bridgeport Way W
Tacoma, WA 98467 - Phone
- (971) 206-5200
- Fax
- (971) 206-5203
- NPI assigned
- Jan 5, 2009
- Last updated
- Jan 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P160042874 | WA | Primary |
Addresses
Primary practice location
5520 Bridgeport Way W
Tacoma, WA 98467
Mailing address
4560 SE International Way, Ste. 100
Consonus Healthcare Services, Attn: Anna Browne
Milwaukie, OR 97222
Phone (971) 206-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160042874 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1841436334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY, STE. 100",
"address_2": "CONSONUS HEALTHCARE SERVICES, ATTN: ANNA BROWNE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 BRIDGEPORT WAY W",
"city": "TACOMA",
"state": "WA",
"postal_code": "98467",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPPERT",
"first_name": "NATHAN",
"middle_name": "PIERRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-05",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "P160042874",
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.