PHYSIO MOVEMENT & PERFORMANCE, PLLC (NPI# 1568096238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568096238 |
| Entity Type | Organization |
| Organization Name | PHYSIO MOVEMENT & PERFORMANCE, PLLC |
| Practice Address |
615 S Baker St Tacoma WA 98402-2318 |
| Mailing Address |
7719 64th Ave E Puyallup WA 98371-5515 |
| Practice Telephone | 2532000741 |
| Practice Fax Number | 2533001665 |
| Mailing Telephone | 2532000741 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MS. REBECCA SARA RUCKER (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 2532000741 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7719 64th Ave E, Puyallup, WA 983715515 | 2532000741 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHYSIO MOVEMENT & PERFORMANCE, PLLC | 7719 64th Ave E, Puyallup, WA 98371-5515 |
| Street Address |
615 S BAKER ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255870671 | Totem Physical Therapy Ps | Clinic/Center | 1802 S. Union Ave, Suite 100, Tacoma, WA 98405-1950 | 2017-02-17 |
| 1982804944 | Alicia Lynn Bowman | Clinic/Center | 2420 S Union Ave Ste 130, Tacoma, WA 98405-1306 | 2007-07-18 |
| 1629071394 | Advanced Physical Therapy & Balance Rehabilitation LLC | Clinic/Center | 1901 S Union Ave, Ste B7011, Tacoma, WA 98405-1807 | 2005-05-24 |
| 1902314537 | Vincent M Leon | Clinic/Center | 3819 6th Ave, Tacoma, WA 98406-4903 | 2018-01-17 |
| 1073025490 | Physiostrength LLC | Clinic/Center | 2909 S 12th St, Tacoma, WA 98405-2540 | 2017-10-25 |
| 1093161226 | Brent Finnigan Lmp | Clinic/Center | 4537 Yakima Ave, Tacoma, WA 98418 | 2016-05-06 |
| 1851754568 | Excellence In Injury Physical Therapy Rehabilitation Inc. | Clinic/Center | 5849 Tacoma Mall Blvd, Suite E, Tacoma, WA 98409-6905 | 2016-03-30 |
| 1982968053 | Integrated Rehabilitation Group, PC | Clinic/Center | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2012-07-03 |
| 1205163524 | Peckham Enterprises, LLC | Clinic/Center | 3007 6th Ave, Tacoma, WA 98406-6202 | 2009-11-06 |
| 1003054685 | Tacoma Rehabilitation Therapy Inc. | Clinic/Center | 1720 S 72nd St, Suite 103, Tacoma, WA 98408-1245 | 2009-02-04 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.