LAKELAND SPORTS & SPINE PHYSICAL THERAPY (NPI# 1194857250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194857250 |
| Entity Type | Organization |
| Organization Name | LAKELAND SPORTS & SPINE PHYSICAL THERAPY |
| Practice Address |
1408 Lake Tapps Pkwy E Suite E106 Auburn WA 98092-8158 |
| Practice Telephone | 2539397179 |
| Practice Fax Number | 2539397182 |
| Mailing Telephone | 2539397179 |
| Mailing Fax Number | 2539397182 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | PAMELA LOUISE WALKER (OFFICE MANAGER) |
| Authorized Official Telephone | 2539397179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
========= | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| USDOL | 610775100 | 01 | |
| WA | REGENCE | 1B 5711LA | 01 |
| WA | L&I | G2 176891 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAKELAND SPORTS & SPINE PHYSICAL THERAPY, PLLC | 1408 Lake Tapps Parkway E. #e106, Auburn, WA 98092 |
| Street Address |
1408 LAKE TAPPS PKWY E SUITE E106 |
| City | AUBURN |
| State | WA |
| Zip Code | 98092-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861546426 | Alan Steven Ludwig | Chiropractor | 1408 Lake Tapps Pkwy E, Suite E-105, Auburn, WA 98092-8158 | 2007-01-22 |
| 1346406543 | Anna Marie Delarosby | Physical Therapist | 1408 Lake Tapps Pkwy E, Suite E106, Auburn, WA 98092-8158 | 2008-08-06 |
| 1851569180 | Ludwig Chiropractic Clinic | Chiropractor | 1408 Lake Tapps Pkwy E, Suite E105, Auburn, WA 98092-8158 | 2008-02-20 |
| 1841471224 | Maureen Ellen Hart | Physical Therapist | 1408 Lake Tapps Pkwy E, Suite E106, Auburn, WA 98092-8158 | 2007-11-14 |
| 1710167960 | Kara M. White | Massage Therapist | 1408 Lake Tapps Pkwy E, Suite E106, Auburn, WA 98092-8158 | 2007-11-05 |
| 1881809929 | Sarah Mckenzie Allentreece | Massage Therapist | 1408 Lake Tapps Pkwy E, Suite E 105, Auburn, WA 98092-8158 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127922 | Washington Dental Corporation, PC | Dentist | 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 | 2019-07-25 |
| 1659854784 | Brady Glenn Christoph | Physical Therapist | Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 | 2018-09-14 |
| 1588110217 | Elonna Alexanderovna Korolchuk | Nurse's Aide | 11223 Se 309th St, Auburn, WA 98092 | 2016-09-01 |
| 1053754416 | Alex E Broady | Counselor | 17300 Se 392nd Street, Auburn, WA 98092 | 2013-04-16 |
| 1801154828 | Aaron Soto Valencia | Counselor | 39101 180th Ave Se, Auburn, WA 98092 | 2012-04-27 |
| 1447467188 | D Lyn Dyan Lee | Massage Therapist | 1408 Lake Tapps Parkway East, Suite E106, Auburn, WA 98092 | 2007-05-16 |
| 1497817415 | Dale Allen Hansen | Chiropractor | 3321 Auburn Way South, Suite G, Auburn, WA 98092 | 2006-12-15 |
| 1922176874 | Kimberly B Fisher | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-11-30 |
| 1760575450 | Roger Arthur Anderson | Dentist | 7125 224th Street Sw, Edmonds, WA 98092 | 2006-10-02 |
| 1053479907 | Nancy Louise Johnson | Physical Therapist | 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 | 2006-12-04 |
| Find all providers in zip 98092 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285073593 | Sweet Song Services | Clinic/Center | 249 Old Danville Rd, Auburn, ME 04210-8104 | 2013-06-19 |
| 1386851061 | Plainsman Park Physical Therapy | Clinic/Center | 349 S Donahue Dr, Plainsman Park Physical Therapy, Auburn, AL 36849-0001 | 2007-05-16 |
| 1750307674 | American River Rehabilitation, Incorporated | Clinic/Center | 12055 Persimmon Ter, Ste. 130, Auburn, CA 95603-3808 | 2006-07-14 |
| 1255338125 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 250 Elm Avenue, Auburn, CA 95603 | 2005-07-07 |
| 1659983021 | Resilience Physical Therapy and Wellness, LLC | Clinic/Center | 32 Sunderland Dr, Auburn, ME 04210-9233 | 2020-08-18 |
| 1851603278 | Vista Complete Care, Inc. | Clinic/Center | 13555 Bowman Rd Ste 100, Auburn, CA 95603-3197 | 2010-07-14 |
| 1124239769 | Remedy Rehab | Clinic/Center | 366 Elm Ave Ste 252, Auburn, CA 95603-4525 | 2007-05-25 |
| 1427111707 | T.e.a.m. Physical Therapy | Clinic/Center | 295 Grass Valley Hwy, Auburn, CA 95603-4533 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912931 | Pt4all Pllc | Clinic/Center | 2130 N 114th St, Seattle, WA 98133-8507 | 2020-11-05 |
| 1811503691 | Art of Heaing Physical Therapy | Clinic/Center | 119 N Commercial St Ste 1100c, Bellingham, WA 98225-4496 | 2020-09-17 |
| 1023622388 | Blue Crane Physical Therapy LLC | Clinic/Center | 10209 123rd St Nw, Gig Harbor, WA 98329-6916 | 2020-09-03 |
| 1629682976 | Integrated Rehabilitation Group, PC | Clinic/Center | 35323 Se Douglas St Ste 210, Snoqualmie, WA 98065-9289 | 2020-09-03 |
| 1124632609 | Upward Physical Therapy and Wellness LLC | Clinic/Center | 4027 Leary Way Nw, Seattle, WA 98107-5045 | 2020-09-02 |
| 1356951123 | Lagniappe, Pllc | Clinic/Center | 7515 54th Ave Nw, Gig Harbor, WA 98335-7434 | 2020-08-05 |
| 1255949178 | Vantage Physical Therapy | Clinic/Center | 2710 S King St, Seattle, WA 98144-2446 | 2020-07-16 |
| 1407474893 | Truemotion Physical Therapy | Clinic/Center | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-07-11 |
| 1083239073 | Foundations Therafitness and Physical Therapy LLC | Clinic/Center | 1607 Cooper Point Rd Nw Ste B, Olympia, WA 98502-8325 | 2020-06-15 |
| 1902420821 | Real Time Physical Therapy | Clinic/Center | 3710 27th Pl W Apt 205, Seattle, WA 98199-2055 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
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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.