Organization Active NPI

Custom Fit Therapies Inc

  • Durable Medical Equipment & Medical Supplies
  • Auburn, WA
National Provider Identifier
1932280740
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CUSTOM FIT THERAPIES INC
Practice address
101 5TH St NE
Auburn, WA 98002-4012
Phone
(253) 288-8835
Fax
(253) 288-9621
NPI assigned
Oct 18, 2006
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Julie A VennNPI 1700982105
Title
Owner
Phone
(253) 288-8835

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

101 5TH St NE
Auburn, WA 98002-4012

Mailing address

101 5TH St NE
Auburn, WA 98002-4012
Phone (253) 288-8835

National Provider Directory

National Provider Directory

Locations

101 5th St NE
Auburn, WA 98002
Phone (253) 288-8835

Practitioners & affiliated clinicians

Practitioners 2

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1932280740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024012",
            "telephone_number": "253-288-8835",
            "fax_number": "253-288-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024012",
            "telephone_number": "253-288-8835",
            "fax_number": "253-288-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM FIT THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "VENN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-288-8835"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.