Organization Active NPI

Therapy Management Services, PLLC

Doing business as Lakeland Sports & Spine Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Auburn, WA
National Provider Identifier
1942846241
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THERAPY MANAGEMENT SERVICES, PLLC
Doing business as
Lakeland Sports & Spine Physical Therapy
Practice address
1620 Lake Tapps Pkwy SE Ste 115
Auburn, WA 98092-8376
Phone
(253) 939-7181
Fax
(253) 939-7184
NPI assigned
Nov 21, 2019
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Mrs. Dwan Ayala
Title
Credentialing Coordinator
Phone
(425) 450-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1620 Lake Tapps Pkwy SE Ste 115
Auburn, WA 98092-8376

Mailing address

915 118TH Ave SE Ste 110
Bellevue, WA 98005-3875
Phone (425) 450-9474

Other practice location 1

1408 Lake Tapps Pkwy SE Ste E105
Auburn, WA 98092-8158
Phone (253) 939-7181

Other names 1

  • Lakeland Sports & Spine Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1942846241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 118TH AVE SE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053875",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LAKE TAPPS PKWY SE STE 115",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928376",
            "telephone_number": "253-939-7181",
            "fax_number": "253-939-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Lake Tapps Pkwy SE Ste E105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980928158",
            "country_code": "US",
            "telephone_number": "253-939-7181",
            "fax_number": "253-939-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "425-450-9474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Sports & Spine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeland Sports & Spine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 13, 2020; 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.