Excellence in Injury Rhblttn MSSG Ic

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

603360712 Issued in WA

Legal business name

EXCELLENCE IN INJURY RHBLTTN MSSG IC

Practice address

5849 Tacoma Mall Blvd
Suite E
Tacoma, WA 98409-6905

Phone

(253) 475-6779

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Joel Vranna, DC

Title

Owner

Phone

(253) 273-6308

Specialties & licenses 1

Addresses

Other names 1

• Radiant Physical Therapy Rehabilitation and Massage Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Aleisa Batty, LMP

  • Contractor
  • Tacoma, WA
  • NPI 1003052325
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1922461631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110488",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110488",
            "telephone_number": "253-475-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 TACOMA MALL BLVD",
            "address_2": "SUITE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096905",
            "telephone_number": "253-475-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN INJURY RHBLTTN MSSG IC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "VRANNA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-273-6308",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "603360712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Physical Therapy Rehabilitation and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ann Ewalt
• Garth Blaine Ewen
• Andrea Jean Ewing, PHARMD
• Richard A Ewing, O.D.
• Excellence in Injury Physical Therapy Rehabilitation Inc.
• Eye MDS of Puget Sound PLLC
• Eye MDS of Puget Sound PLLC
• Eye MDS of Puget Sound, PLLC
• Eyekea Vision Center LLC
• Eyes Rite Eyecare, Inc.

• Rehabilitation Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.