Individual provider Active NPI

Teri Jo Lientz, P.T., A.T.C.

  • Athletic Trainer
  • Tacoma, WA
National Provider Identifier
1992834352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
089702476 Issued in WA
Practice address
633 N Mildred St Ste a
Tacoma, WA 98406-1725
Phone
(253) 565-0438
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 089702476 WA Primary

Addresses

Primary practice location

633 N Mildred St Ste a
Tacoma, WA 98406-1725

Mailing address

3814 N Monroe St
Tacoma, WA 98407-5125
Phone (253) 761-8535

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089702476WAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Teri Jo Lientz DPT MPT Atc PLLC Current Accepting new patients
Point Fosdick Physical Therapy, Inc PS Past Accepting new patients
Capen Industrial Rehab Past Accepting new patients
Capen and Associates, P.S. PastSince Mar 29, 2020 Accepting new patients

Locations

4851 Auto Center Way
Bremerton, WA 98312
Phone (360) 627-7768

901 NE Lincoln Rd
Ste 101
Poulsbo, WA 98370

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992834352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 N MONROE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075125",
            "telephone_number": "253-761-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N MILDRED ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061725",
            "telephone_number": "253-565-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENTZ",
        "first_name": "TERI",
        "middle_name": "JO",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "089702476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • 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.