NPIMap

Organization Active NPI

Kent Easthill Physical Therapy PS

  • Orthopedic Physical Therapist
  • Kent, WA
National Provider Identifier
1992856611
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00008060 Issued in WA
Legal business name
KENT EASTHILL PHYSICAL THERAPY PS
Practice address
13106 SE 240TH St
Suite 103
Kent, WA 98031-9210
Phone
(253) 631-1933
Fax
(253) 631-2094
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mr. George C Anderson, PT
Title
Owner
Phone
(253) 631-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00008060 WA Primary

Addresses

Primary practice location

13106 SE 240TH St
Suite 103
Kent, WA 98031-9210

Mailing address

13106 SE 240TH St
Suite 103
Kent, WA 98031-9210
Phone (253) 631-1933

National Provider Directory

National Provider Directory

Locations

24020 132nd Ave SE
Ste D
Kent, WA 98042
Phone (253) 631-1933

13106 SE 240th St
Ste 103
Kent, WA 98031
Phone (253) 631-1933

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1992856611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319210",
            "telephone_number": "253-631-1933",
            "fax_number": "253-631-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319210",
            "telephone_number": "253-631-1933",
            "fax_number": "253-631-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT EASTHILL PHYSICAL THERAPY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-631-1933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.