Ann L Wade, PT CMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006763 Issued in WA

Practice address

2102 Carriage Dr SW
Ste B Steamboat Physical Therapy Inc
Olympia, WA 98502

Phone

(360) 866-0408

Fax

(360) 866-1165

NPI assigned

Sep 21, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1982690483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CARRIAGE DR SW",
            "address_2": "STE B STEAMBOAT PHYSICAL THERAPY INC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-866-0408",
            "fax_number": "360-866-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CARRIAGE DR SW",
            "address_2": "STE B STEAMBOAT PHYSICAL THERAPY INC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-866-0408",
            "fax_number": "360-866-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ANN",
        "middle_name": "L",
        "credential": "PT CMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "132279",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8341042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dich Quoc Vu, MD
• Mariah Vylet
• Stanislav Vylet
• Wa Alliance Wound Care Services PLLC
• Rebekah Waag
• Sarah Jean Wade
• Kim Wadsworth, DO
• Wagaman Enterprises Inc
• Christina Wagaman, R.D.
• Jeffrey Daniel Wagaman, PH.D.

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.