Samuel Waayers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160109280 Issued in WA

Practice address

15 W 10TH Ave
Kennewick, WA 99336-6371

Phone

(509) 582-6335

Fax

(509) 582-6375

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD (past)
• United Early Learning & Family Center LLC

  dba United Family Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grandview, WA
  • NPI 1801405642
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1861870602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S WASHINGTON ST STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365600",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366371",
            "telephone_number": "509-582-6335",
            "fax_number": "509-582-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAYERS",
        "first_name": "SAMUEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160109280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Viveros
• Pornpira Von Reis, LMT
• Elizabeth Marie Vossenkemper, RN, CPNP-PC
• Vue Home Care LLC
• Vue Home Health LLC
• Carrington M Waddoups
• Wesley Allen Wagar, PA-C
• Erica Y Wagoner, LMP
• William S. Waites, PA-C
• Wal-Mart Stores, Inc (Vision Center 30-2101)

• Physical Therapy Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.