Joseph Ryan Visser, DPT
Individual provider Active NPI Physical Therapist · Tacoma, WA
NPI 1962959965 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1962959965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT60666394 (WA)
- Practice address
- 1407 E 72ND St
Ste a-100
Tacoma, WA 98404-5906 - Phone
- (253) 474-7474
- Fax
- (253) 474-7479
- NPI assigned
- Sep 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Land Rehabilitation LLC
Registered Physical Therapists Inc
Practice addresses (Care Compare)
2950 N Church St
Suite 102
Layton, UT 84040-6590
Phone (801) 547-9462
5459 W 7800
Suite 120
West Jordan, UT 84081-6023
Phone (801) 571-0099
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251113004336 | UT | Practitioner - Physical Therapist in Private Practice | 8224325147 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current |
Accepting new patients |
| Registered Physical Therapists LLC | Current |
Accepting new patients |
Locations
2950 N Church St
Ste 102
Layton, UT 84040
Phone (801) 547-9462
4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475
1577 W 7000 S
Ste 100
West Jordan, UT 84084
Phone (801) 566-6301
5459 W 7800 S
Ste 120
West Jordan, UT 84081
Phone (801) 571-0099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60666394 | WA | Yes |
Addresses
Primary practice location
1407 E 72ND St
Ste a-100
Tacoma, WA 98404-5906
Mailing address
1900 SW Campus Dr
Apt 1-105
Federal Way, WA 98023-6533
Phone (435) 979-8327
Other providers in Tacoma, WA
- Vanessa Marie Vinup
- Edelyn Parajes Viola
- Nicole Nancy Virden
- Virginia Mason Medical Center
- Viridian Associates, LLC
- Viveza Counseling LLC
- Felix G Vladimir
- Natalia Vladinova
- Andrew N Vlahovich
- Jillian Vlasak
All providers in Tacoma, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.