Active NPI
Craig E Taft, PT
- Specialist
- Tacoma, WA
National Provider Identifier
1891772703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT00002558
- Practice address
- 4701 S 19TH St
Suite 100
Tacoma, WA 98405-1199 - Phone
- (253) 759-1310
- Fax
- (253) 759-1330
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT00002558 | WA | Primary |
Addresses
Primary practice location
4701 S 19TH St
Suite 100
Tacoma, WA 98405-1199
Mailing address
4701 S 19TH St
Suite 100
Tacoma, WA 98405-1199
Phone (253) 759-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 718656 | Medicaid | WA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1891772703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 S 19TH ST",
"address_2": "SUITE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051199",
"telephone_number": "253-759-1310",
"fax_number": "253-759-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 S 19TH ST",
"address_2": "SUITE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051199",
"telephone_number": "253-759-1310",
"fax_number": "253-759-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFT",
"first_name": "CRAIG",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PT00002558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "718656",
"state": "WA"
}
],
"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 Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.