NPIMap

Organization Active NPI

MVP Physical Therapy, Inc.

  • Physical Therapist
  • Tukwila, WA
National Provider Identifier
1871827444
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MVP PHYSICAL THERAPY, INC.
Practice address
14800 Starfire Way
Tukwila, WA 98188
Phone
(206) 267-7811
Fax
(206) 267-7813
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Patrick Garlock, DSC, MHS, PT
Title
Ceo/Physical Therapist
Phone
(253) 564-1560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X WA Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X WA

Addresses

Primary practice location

14800 Starfire Way
Tukwila, WA 98188

Mailing address

4040 Orchard St. W.
Suite 100
Fircrest, WA 98466
Phone (253) 564-1560

Other identifiers 1

IdentifierTypeStateIssuer
7082225MedicaidWA

Other names 1

  • MVP Physical Therapy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1871827444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST. W.",
            "address_2": "SUITE 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 STARFIRE WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-267-7811",
            "fax_number": "206-267-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "GARLOCK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "253-564-1560",
        "authorized_official_credential": "DSC, MHS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MVP Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MVP Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.