Traveling Wellness PS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRAVELING WELLNESS PS

Practice address

23745 225TH Way SE Ste 201
Maple Valley, WA 98038-5294

Phone

(425) 390-9425

NPI assigned

Jun 15, 2019

Organization subpart

No

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

Authorized official

Name

Scott A Brunner, CEO

Title

Ceo

Phone

(425) 390-9425

Specialties & licenses 1

Addresses

Other names 1

• Traveling Wellness PS Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: tmancuso1976@direct.practicefusion.com

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1942860697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 THOMPSON ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901314",
            "telephone_number": "425-390-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE STE 201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "425-390-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING WELLNESS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-15",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BRUNNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-390-9425",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmancuso1976@direct.practicefusion.com",
            "affiliation": "Y",
            "affiliationName": "Traveling Pain Management Doctors PSC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Maple Valley",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23745 225th Way SE Ste 201",
            "city": "Maple Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980385294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Traveling Wellness PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Brooks Toomey
• Jessica Bidory Torres Madrid, MA, BCBA
• Misty Dawn Torres, LMHCA
• Christine Tran, DDS
• Traveling Pain Management Doctors PSC
• Todd Tuttle, MS CCCSLP
• Kirstin Uchida, PT
• Jeffrey Unger, PHARM D
• Brenda Lee Upton, DC
• Michael Upton, DC

• Clinic/Center in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.