Pelvic Rehab Specialists

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PELVIC REHAB SPECIALISTS

Practice address

3015 Limited LN NW
Suite B
Olympia, WA 98502-2638

Phone

(360) 709-0700

Fax

(360) 709-0703

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Randall G. Johnson, DPT

Title

Ceo

Phone

(253) 840-6448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1851712202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983900480",
            "telephone_number": "253-840-2313",
            "fax_number": "253-840-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 LIMITED LN NW",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022638",
            "telephone_number": "360-709-0700",
            "fax_number": "360-709-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-840-6448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pellanda
• Clove Pellant, MSW LSWAIC MHP CDPT
• Ryan James Pelletier, CPC
• Joseph Pellicer, MD
• Edward Peltz, AAC
• James WM Pence, L.M.P.
• Drussira Pendle, RN
• Gregory James Pendle, PA-C
• Daniel Richard Pendragon
• David Eugene Penner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.