SIMONETTI PHYSICAL THERAPY INCORPORATION (NPI# 1700097649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700097649 |
| Entity Type | Organization |
| Organization Name | SIMONETTI PHYSICAL THERAPY INCORPORATION |
| Practice Address |
4044 15th Ln Se Suite B Lacey WA 98503-6962 |
| Practice Telephone | 3604565154 |
| Practice Fax Number | 3604560844 |
| Mailing Telephone | 3604565154 |
| Mailing Fax Number | 3604560844 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | MRS. DEBORAH MAY SIMONETTI (OWNER OPERATOR) |
| Authorized Official Telephone | 3604565154 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT00002344 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7071855 | 05 |
| Street Address |
4044 15TH LN SE SUITE B |
| City | LACEY |
| State | WA |
| Zip Code | 98503-6962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598982324 | The Clinic At Panorama City,ps | Family Medicine | 4044 15th Ln Se, Suite A, Lacey, WA 98503 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144778259 | Jennifer Coulter | Specialist | 4315 Mckinley St Ne, Lacey, WA 98516-6281 | 2016-09-17 |
| 1427403369 | Mark Justin Clary | Specialist | 8294 28th Ct Ne Ste 100, Lacey, WA 98516-7140 | 2016-04-28 |
| 1669868782 | Stephanie Clementine Schiavoni | Specialist | 418 Carpenter Rd Se Ste 102, Lacey, WA 98503-7905 | 2015-04-15 |
| 1235542663 | Sadie Karean Bennett | Specialist | 8545 Oxford Ave Se, Lacey, WA 98503-6218 | 2014-06-03 |
| 1265796411 | Melissa J Mercer | Specialist | 8830 Tallon Ln Ne, Lacey, WA 98516-6641 | 2012-07-02 |
| 1881969830 | Colleen Kost | Specialist | 1307 Merkel St Ne, Lacey, WA 98516-5423 | 2012-03-08 |
| 1831478718 | Bodywork and Massage Center | Specialist | 1210 Sleater Kinney Road Souteast, Lacey, WA 98503 | 2011-08-10 |
| 1063737823 | Monica Hodges | Specialist | 4704 Pacific Ave. Se, Suite B, Lacey, WA 98503 | 2010-04-05 |
| 1972832848 | Chelsea Mariah Schindler | Specialist | 5831 Lacey Blvd Se Ste G, Lacey, WA 98503-7241 | 2009-12-23 |
| 1306077334 | Aphton Marie Kirschbaum | Specialist | 7132 34th Ave Ne, Lacey, WA 98516-1407 | 2009-08-08 |
| Find all providers in LACEY | ||||
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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.