The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1821256298 |
NPI Entity Type | Organization |
Provider Name | Elite Physical Therapy Group, Llc |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 223 140th St S Ste 700, Tacoma, WA, US |
Provider Mailing Address | 21707 103rd Avenue Ct E Ste B202, Graham, WA, US, 983388308 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | MPT Trevor William Pettingill |
Official Position | PHYSICAL THERAPIST/CLINIC OWNER |
Phone | 253-732-8116 |
Taxonomy Code | |
Taxonomy Name | Physical Therapy Clinic/Center |
Classification | |
Group | |
License No. | 602832882 |
License State | WA |
Description | An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
G8876026 | MEDICARE PTAN # | 01 | |
2001745 | WA | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Katherine Delgadillo-soto Individual |
723 Sw 10th St |
||
Compassionate Pathways Psychology Services, Llc Organization |
720 S 333rd St Ste 212 |
||
PHARM.D. Daniel D Kim Individual |
17788 147th St Se |
||
MD Srinivas Murthy Mascal Gangadharaiah Individual |
1200 N 14th Ave Ste 245 |
||
Cynthia Huynh-wu Individual |
1914 N 34th St Ste 206 |
||
MISS RN Cicely P Locks Individual |
1191 Nw Tahoe Ln |
||
DR. LMHC, LPC, SUDP Steven Kyle Cardwell Individual |
110 Prefontaine Pl S |
||
Megan Lee Individual |
Student in an Organized Health Care Education/Training Program |
1959 Ne Pacific St |
|
MD Keith M. D'souza Individual |
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
401 15th Ave Se |
|
Ryan Schwanke Individual |
4520 42nd Ave Sw Ste 34 |
||
AAC Carmen Milagros Esquilin-cordero Individual |
25028 104th Ave Se |
||
Nathan Sim Individual |
Student in an Organized Health Care Education/Training Program |
3919 N Maple St |
|
MSW, AAC, CLIN2 Megan Fiona Cushing Individual |
4526 Federal Ave |
||
MASSAGE THERAPIST Maya Ray-schoenfeld Individual |
3417 Evanston Ave N Ste 321 |
||
DNP, ARNP, FNP-C Janelle Schwittay Individual |
916 S 3rd St |
||
Mikaela Costales Individual |
27023 164th Ave Se |
||
DR. OD Andy C Lai Individual |
4325 University Way Ne |
||
LMHC, MHP, NCC Jonathan Clarke Goodman Individual |
1002 39th Ave Sw Ste 208 |
||
BA Mimi Mi Kim Individual |
2802 Broadway |
||
Michaela Mae Bassuer Individual |
Student in an Organized Health Care Education/Training Program |
505 N Argonne Rd Ste B206 |
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