NPIMap

Organization Active NPI

Summit Pacific Rehabilitation

  • Skilled Nursing Facility
  • Puyallup, WA
National Provider Identifier
1902040132
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMIT PACIFIC REHABILITATION
Practice address
909 Meridian St S
Puyallup, WA 98371-6908
Phone
(253) 435-1628
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Alice L Coles
Title
Cota/L
Phone
(253) 435-1628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

909 Meridian St S
Puyallup, WA 98371-6908

Mailing address

909 Meridian St S
Puyallup, WA 98371-6908

National Provider Directory

National Provider Directory
Tax ID family
Summit Pacific Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1902040132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MERIDIAN ST S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MERIDIAN ST S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716908",
            "telephone_number": "253-435-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PACIFIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "253-435-1628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.