NPIMap

Organization Active NPI

Therapydia of Washington PC

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1902643992
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPYDIA OF WASHINGTON PC
Practice address
7604 NE 5TH Ave Ste 109
Vancouver, WA 98665-8200
Phone
(616) 483-3480
Fax
(360) 597-7848
NPI assigned
Jul 9, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Richard Leaver, PTNPI 1801994355
Title
Ceo
Phone
(616) 356-5000

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7604 NE 5TH Ave Ste 109
Vancouver, WA 98665-8200

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

1125 SE 163rd Pl Ste 102
Vancouver, WA 98683-4468
Phone (360) 768-4340

Other practice location 2

4114 Bridgeport Way W
University Place, WA 98466-4315
Phone (253) 210-4478

Other practice location 3

19910 S Prairie Rd E
Bonney Lake, WA 98391-7901
Phone (253) 750-5997

Other practice location 4

5701 N 26TH St
Tacoma, WA 98407-2408
Phone (253) 507-7450

Other practice location 5

223 140th St S
Tacoma, WA 98444-4531
Phone (253) 531-5645

Other practice location 6

9909 224th St E Unit 100B
Graham, WA 98338-7086
Phone (253) 780-4965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107000292 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931633492 Receives reassigned benefits from 25 practitioners
Practice locations: Bonney Lake, WA; Vancouver, WA; University Place, WA; Tacoma, WA; Graham, WA; Camas, WA

National Provider Directory

National Provider Directory

Locations

223 140th St S
Ste 700
Tacoma, WA 98444
Phone (253) 531-5645

5701 N 26th St
Tacoma, WA 98407
Phone (253) 507-7450

1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340

7604 NE 5th Ave
Vancouver, WA 98665
Phone (360) 314-4380

Practitioners & affiliated clinicians

Practitioners 69

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.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1902643992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 NE 5TH AVE STE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658200",
            "telephone_number": "616-483-3480",
            "fax_number": "360-597-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 SE 163rd Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986834468",
            "country_code": "US",
            "telephone_number": "360-768-4340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664315",
            "country_code": "US",
            "telephone_number": "253-210-4478",
            "fax_number": "253-210-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19910 S Prairie Rd E",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983917901",
            "country_code": "US",
            "telephone_number": "253-750-5997",
            "fax_number": "253-750-0463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 N 26TH ST",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984072408",
            "country_code": "US",
            "telephone_number": "253-507-7450",
            "fax_number": "253-507-7572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 140th St S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984444531",
            "country_code": "US",
            "telephone_number": "253-531-5645",
            "fax_number": "253-536-3467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9909 224th St E Unit 100B",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "WA",
            "postal_code": "983387086",
            "country_code": "US",
            "telephone_number": "253-780-4965",
            "fax_number": "253-780-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPYDIA OF WASHINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-356-5000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.