Active NPI
Phyllis Leslie Ayer, PT, CST-C, MA
- Physical Therapist
- Sequim, WA
National Provider Identifier
1962906164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00002408
- Practice address
- 500 W Fir St Ste a
Sequim, WA 98382-3201 - Phone
- (360) 683-0632
- Fax
- (360) 681-5483
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00002408 | WA | Primary |
Addresses
Primary practice location
500 W Fir St Ste a
Sequim, WA 98382-3201
Mailing address
500 W Fir St Ste a
Sequim, WA 98382-3201
Phone (360) 683-0632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002408 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1962906164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W FIR ST STE A",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823201",
"telephone_number": "360-683-0632",
"fax_number": "360-681-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W FIR ST STE A",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823201",
"telephone_number": "360-683-0632",
"fax_number": "360-681-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYER",
"first_name": "PHYLLIS",
"middle_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "PT, CST-C, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00002408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.