NPIMap

Organization Active NPI

Alliance Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Federal Way, WA
National Provider Identifier
1891838702
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00003078 Issued in WA
Legal business name
ALLIANCE PHYSICAL THERAPY LLC
Practice address
2500 SW 336TH St
Ste E
Federal Way, WA 98023
Phone
(253) 838-6611
Fax
(253) 838-6789
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
ALLIANCE PHYSICAL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Steven G Wittrock, PTNPI 1104823129
Title
Owner
Phone
(253) 838-2464

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00003078 WA Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2500 SW 336TH St
Ste E
Federal Way, WA 98023

Mailing address

34507 Pacific Hwy S
6
Federal Way, WA 98003
Phone (253) 838-6611

Other identifiers 1

IdentifierTypeStateIssuer
7099658MedicaidWA

Other names 1

  • Twin Lakes Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alliance Physical Therapy3 organizations share this tax ID, including this one
Part of
Alliance Physical Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1891838702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34507 PACIFIC HWY S",
            "address_2": "6",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-838-6611",
            "fax_number": "253-838-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 336TH ST",
            "address_2": "STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "253-838-6611",
            "fax_number": "253-838-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE PHYSICAL THERAPY LLC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "WITTROCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-838-2464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00003078",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes 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 Mar 5, 2008; 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.