Active NPI
Deborah Louise Kalles, PTA
- Physical Therapy Assistant
- Tacoma, WA
National Provider Identifier
1861873382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P160038241
- Practice address
- 601 So. 8TH St. - Tacoma School District
Attention: Jennifer Traufler Spec. Ed. Director
Tacoma, WA 98405 - Phone
- (253) 571-1000
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | P160038241 | WA | Primary |
Addresses
Primary practice location
601 So. 8TH St. - Tacoma School District
Attention: Jennifer Traufler Spec. Ed. Director
Tacoma, WA 98405
Mailing address
1721 - 8TH Ave. SW.
Puyallup, WA 98371
Phone (253) 845-0240
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 |
|---|---|---|---|
| P160038241 | WA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma School District | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433894400000",
"number": "1861873382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 - 8TH AVE. SW.",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98371",
"telephone_number": "253-845-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SO. 8TH ST. - TACOMA SCHOOL DISTRICT",
"address_2": "ATTENTION: JENNIFER TRAUFLER SPEC. ED. DIRECTOR",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-571-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLES",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2015-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P160038241",
"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 Jun 10, 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.