Vern J Essenberg Jr., MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005640 Issued in WA

Practice address

7727 40TH St W
Suite a
University Place, WA 98466-3146

Phone

(253) 460-1362

Fax

(253) 460-6628

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962458679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 GRAVELLY LAKE DR SW",
            "address_2": "SUITE 203",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991574",
            "telephone_number": "253-581-5200",
            "fax_number": "253-581-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 40TH ST W",
            "address_2": "SUITE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663146",
            "telephone_number": "253-460-1362",
            "fax_number": "253-460-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBERG",
        "first_name": "VERN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "44698",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "7701ES",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS PRGM",
            "identifier": "8930575",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Mabini Erolin
• Katie Eromae
• Aghogho Francis Eruotor
• Makaila Ervin, AACR
• Zachary Erwin
• Eliannette Enid Esteves, MA60615915
• Eun K Kwon Washington Health Care
• Jenna Evans, MC
• F&M Healthcare, LLC
• Tammy Elana Fahber, LPN

• Physical Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.