Organization Active NPI

Excellence in Injury Physical Therapy Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Tacoma, WA
National Provider Identifier
1851754568
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
603360929 Issued in WA
Legal business name
EXCELLENCE IN INJURY PHYSICAL THERAPY REHABILITATION INC.
Practice address
5849 Tacoma Mall Blvd
Suite E
Tacoma, WA 98409-6905
Phone
(253) 475-6779
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mr. Joel Vranna, DC
Title
Owner
Phone
(253) 273-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 603360929 WA Primary

Addresses

Primary practice location

5849 Tacoma Mall Blvd
Suite E
Tacoma, WA 98409-6905

Mailing address

PO Box 110488
Tacoma, WA 98411-0488
Phone (253) 475-6779

Other names 1

  • Radiant Physical Therapy Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

5849 Tacoma Mall Blvd
Ste E
Tacoma, WA 98409
Phone (253) 475-6779

Practitioners & affiliated clinicians

Practitioners 1

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": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1851754568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110488",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110488",
            "telephone_number": "253-475-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 TACOMA MALL BLVD",
            "address_2": "SUITE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096905",
            "telephone_number": "253-475-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN INJURY PHYSICAL THERAPY REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "VRANNA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-273-6308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "603360929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Physical Therapy Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2016; 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.