Organization Active NPI

Wellspring Physical Therapy Services PS

  • Physical Therapy Clinic/Center
  • Federal Way, WA
National Provider Identifier
1891240255
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00009074 Issued in WA
Legal business name
WELLSPRING PHYSICAL THERAPY SERVICES PS
Practice address
33650 6TH Ave S
Ste 100
Federal Way, WA 98003-6754
Phone
(253) 942-3308
Fax
(253) 237-0643
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Mrs. Laney O'Neill, MPTNPI 1104933951
Title
President
Phone
(253) 942-3308

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 Therapy Clinic/Center 261QP2000X PT00009074 WA Primary

Addresses

Primary practice location

33650 6TH Ave S
Ste 100
Federal Way, WA 98003-6754

Mailing address

33650 6TH Ave S Ste 100
Federal Way, WA 98003-6754
Phone (253) 942-3308

Other names 1

  • Wellspring Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161018000470 WA Part B Supplier - Clinic/Group Practice 8224326657 Receives reassigned benefits from 5 practitioners
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

33650 6th Ave S
Ste 114
Federal Way, WA 98003
Phone (253) 942-3308

Practitioners & affiliated clinicians

Practitioners 5

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1891240255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33650 6TH AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036754",
            "telephone_number": "253-942-3308",
            "fax_number": "253-237-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33650 6TH AVE S",
            "address_2": "STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036754",
            "telephone_number": "253-942-3308",
            "fax_number": "253-237-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING PHYSICAL THERAPY SERVICES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "LANEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-942-3308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00009074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.