NPIMap

Organization Active NPI

Physioworks Silverdale PLLC

Doing business as PhysioWorks

  • Rehabilitation Clinic/Center
  • Silverdale, WA
National Provider Identifier
1952986184
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHYSIOWORKS SILVERDALE PLLC
Doing business as
PhysioWorks
Practice address
9399 Ridgetop Blvd NW Ste 102
Silverdale, WA 98383-8580
Phone
(360) 900-2626
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Nancy Lynn Rickerson, PH.D, OTR/LNPI 1356552467
Title
Administrative Director
Phone
(425) 879-3403

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
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

9399 Ridgetop Blvd NW Ste 102
Silverdale, WA 98383-8580

Mailing address

17526 163Rd PL SE
Renton, WA 98058-9131
Phone (425) 879-3403

Other names 1

  • PhysioWorks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823000224 WA Part B Supplier - Clinic/Group Practice 3971908484 Receives reassigned benefits from 11 practitioners
Practice locations: Bremerton, WA; Silverdale, WA

National Provider Directory

National Provider Directory

Locations

9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1952986184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17526 163RD PL SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980589131",
            "telephone_number": "425-879-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 RIDGETOP BLVD NW STE 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838580",
            "telephone_number": "360-900-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOWORKS SILVERDALE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "RICKERSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "425-879-3403",
        "authorized_official_credential": "PH.D, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.