Active NPI
Therapy Management Services, PLLC
- Durable Medical Equipment & Medical Supplies
- North Bend, WA
National Provider Identifier
1982766440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THERAPY MANAGEMENT SERVICES, PLLC
- Practice address
- 400 Main Ave S
North Bend, WA 98045-8215 - Phone
- (425) 888-1156
- Fax
- (425) 888-6167
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwan Diaz
- Title
- CC
- Phone
- (813) 560-8157
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
400 Main Ave S
North Bend, WA 98045-8215
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (813) 560-8157
Other practice location 1
7713 Center Blvd SE Ste 160
Snoqualmie, WA 98065-6309
Phone (425) 434-9607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102924 | Medicaid | WA |
Other names 4
- North Bend Physical Therapy
- RET Physical Therapy & Healthcare Specialists
- Snoqualmie North Bend Physical Therapy PLLC
- Snoqualmie Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Therapy Management Services PLLC
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Puyallup, WA
- NPI 1942641147
-
- Durable Medical Equipment & Medical Supplies
- Bellingham, WA
- NPI 1023691169
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1033756986
-
- Hand Occupational Therapist
- Covington, WA
- NPI 1104325877
-
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
- NPI 1144866583
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1205025319
-
- Physical Therapist
- University Place, WA
- NPI 1265091854
-
- Physical Therapist
- Tukwila, WA
- NPI 1275179699
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1285270587
-
- Physical Therapist
- University Place, WA
- NPI 1295207983
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1417505678
-
- Durable Medical Equipment & Medical Supplies
- Redmond, WA
- NPI 1689891749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1982766440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "813-560-8157",
"fax_number": "425-452-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAIN AVE S",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980458215",
"telephone_number": "425-888-1156",
"fax_number": "425-888-6167"
}
],
"practiceLocations": [
{
"address_1": "7713 Center Blvd SE Ste 160",
"address_purpose": "LOCATION",
"city": "Snoqualmie",
"state": "WA",
"postal_code": "980656309",
"country_code": "US",
"telephone_number": "425-434-9607",
"fax_number": "425-434-9582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THERAPY MANAGEMENT SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "DWAN",
"authorized_official_title_or_position": "CC",
"authorized_official_telephone_number": "813-560-8157"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102924",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Bend Physical Therapy",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "RET Physical Therapy & Healthcare Specialists",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Snoqualmie North Bend Physical Therapy PLLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Snoqualmie Physical Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.