Organization Active NPI

Core Foundations Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ridgefield, WA
National Provider Identifier
1922972900
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Ms. Meghan Peck, DPTNPI 1558177139
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)CodeLicenseStatePrimary
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 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, and the practitioner matching its NPPES authorized official.

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": []
}

Other providers in Ridgefield, WA

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.

Verify at the official NPI Registry.