NPIMap

Organization Active NPI

Adventure Physical Therapy, PS

  • Physical Therapy Clinic/Center
  • Port Angeles, WA
National Provider Identifier
1992973945
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00008129 Issued in WA
Legal business name
ADVENTURE PHYSICAL THERAPY, PS
Practice address
111 E 3Rd St Ste 2a
Port Angeles, WA 98362-3020
Phone
(360) 452-3529
Fax
(360) 452-4043
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Sean Andre Cash, MPTNPI 1356335624
Title
Physical Therapist/President
Phone
(360) 452-3529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00008129 WA Primary

Addresses

Primary practice location

111 E 3Rd St Ste 2a
Port Angeles, WA 98362-3020

Mailing address

111 E 3Rd St Ste 2a
Port Angeles, WA 98362-3020
Phone (360) 452-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000123 WA Part B Supplier - Clinic/Group Practice 4082791512 Receives reassigned benefits from 2 practitioners
Practice locations: Port Angeles, WA

National Provider Directory

National Provider Directory

Locations

111 E 3rd St
Ste 2
Port Angeles, WA 98362
Phone (360) 452-3529

111 E 3rd St
Ste 2A
Port Angeles, WA 98362
Phone (360) 452-3529

116 S Ennis St
Port Angeles, WA 98362
Phone (360) 452-3529

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1992973945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST STE 2A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623020",
            "telephone_number": "360-452-3529",
            "fax_number": "360-452-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 3RD ST STE 2A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623020",
            "telephone_number": "360-452-3529",
            "fax_number": "360-452-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE PHYSICAL THERAPY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "360-452-3529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00008129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.