Individual provider Active NPI

Paul Peter Luntao, DPT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1962152876
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3912 10TH St SE Ste 101
Puyallup, WA 98374-2188
Phone
(253) 848-4700
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14114 TN
Physical Therapist 225100000X
Physical Therapist 225100000X 30011 MD
Physical Therapist 225100000X IN Primary

Addresses

Primary practice location

3912 10TH St SE Ste 101
Puyallup, WA 98374-2188

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone (954) 739-4247

Other practice location 2

9156 Rothbury Dr
Gaithersburg, MD 20886-1400
Phone (240) 690-7595

Other practice location 3

3515 South St Ste C
Lafayette, IN 47905-5204
Phone (765) 705-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DC, IN, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220930001345 TN Practitioner - Physical Therapist in Private Practice 4587040332 Reassigns benefits to 2 organizations
I20240718000766 DC Practitioner - Physical Therapist in Private Practice 4587040332 Reassigns benefits to 1 organization
I20250428002012 IN Practitioner - Physical Therapist in Private Practice 4587040332 Reassigns benefits to 1 organization
I20250808002258 WA Practitioner - Physical Therapist in Private Practice 4587040332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

3912 10TH St SE
Suite 101
Puyallup, WA 98374-2188
Phone (253) 848-4700

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30011MDMDPharmacist
14114TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Aug 17, 2022 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 17, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 17, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

3515 South St
Ste C
Lafayette, IN 47905
Phone (765) 705-8060

9156 Rothbury Dr
Gaithersburg, MD 20886
Phone (240) 690-7595

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

3760 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 336-3795

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

7693 Rhea County Hwy
Ste 2
Dayton, TN 37321
Phone (423) 570-0907

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

3912 10th St SE
#101
Puyallup, WA 98374
Phone (253) 848-4700

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1962152876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 10TH ST SE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742188",
            "telephone_number": "253-848-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Sawgrass Corporate Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333232869",
            "country_code": "US",
            "telephone_number": "954-739-4247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9156 Rothbury Dr",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208861400",
            "country_code": "US",
            "telephone_number": "240-690-7595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 South St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055204",
            "country_code": "US",
            "telephone_number": "765-705-8060",
            "fax_number": "765-233-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNTAO",
        "first_name": "PAUL PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14114",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30011",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.