Organization Active NPI

Rainier Movement and Performance PLLC

  • Physical Therapist
  • Tukwila, WA
National Provider Identifier
1881539831
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RAINIER MOVEMENT AND PERFORMANCE PLLC
Practice address
12620 Interurban Ave S Ste 150
Tukwila, WA 98168-3336
Phone
(425) 780-6735
Fax
(425) 589-0349
NPI assigned
Apr 23, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
John Jackson, PT, DPT, ATCNPI 1417435967
Title
Owner
Phone
(904) 476-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

12620 Interurban Ave S Ste 150
Tukwila, WA 98168-3336

Mailing address

1006 Redmond Ave NE
Renton, WA 98056-3549
Phone (904) 476-0124

National Provider Directory

National Provider Directory

Locations

12620 Interurban Ave S
Ste 150
Tukwila, WA 98168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1881539831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 REDMOND AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563549",
            "telephone_number": "904-476-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 INTERURBAN AVE S STE 150",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683336",
            "telephone_number": "425-780-6735",
            "fax_number": "425-589-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER MOVEMENT AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-476-0124",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 25, 2026; 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.