Active NPI
Core Foundations Physical Therapy LLC
- Physical Therapy Clinic/Center
- Ridgefield, WA
National Provider Identifier
1922972900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CORE FOUNDATIONS PHYSICAL THERAPY LLC
- Practice address
- 109 S 65TH Ave Ste 105
Ridgefield, WA 98642-3408 - Phone
- (425) 241-0172
- Fax
- (253) 650-6458
- NPI assigned
- Oct 2, 2025
- Last updated
- Oct 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Meghan Peck, DPT
- Title
- Owner/PT
- Phone
- (425) 241-0172
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
109 S 65TH Ave Ste 105
Ridgefield, WA 98642-3408
Mailing address
1763 S 18TH Cir
Ridgefield, WA 98642-7815
Phone (425) 241-0172
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Ridgefield, WA
- NPI 1558177139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1922972900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1763 S 18TH CIR",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986427815",
"telephone_number": "425-241-0172",
"fax_number": "253-650-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S 65TH AVE STE 105",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423408",
"telephone_number": "425-241-0172",
"fax_number": "253-650-6458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE FOUNDATIONS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "425-241-0172",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Steven Ray Conrad, CERTIFIED COUNSELOR
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.