PECKHAM ENTERPRISES, LLC (NPI# 1205163524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205163524 |
| Entity Type | Organization |
| Organization Name | PECKHAM ENTERPRISES, LLC |
| Other Organization Name | NORTH END PHYSICAL THERAPY |
| Practice Address |
3007 6th Ave Tacoma WA 98406-6202 |
| Practice Telephone | 2537617795 |
| Practice Fax Number | 2537617796 |
| Mailing Telephone | 2537617795 |
| Mailing Fax Number | 2537617796 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | KATHRYN CARTER MOESER-PECKHAM (OWNER) |
| Authorized Official Telephone | 2537617795 |
| Authorized Official Credential | DPT, CMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
8647 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8373581 | 05 |
| Other Name | Type Code |
|---|---|
| NORTH END PHYSICAL THERAPY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PECKHAM ENTERPRISES, LLC | 3007 6th Ave, Tacoma, WA 98406-6202 |
| Street Address |
3007 6TH AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426625 | Kathryn Carter Moeser-peckham | Physical Therapist | 3007 6th Ave, Tacoma, WA 98406-6202 | 2006-09-13 |
| 1619304383 | Rebecca Ann Roberts | Specialist | 3007 6th Ave, Tacoma, WA 98406-6202 | 2013-09-26 |
| 1073758025 | Bridget Francis Kord | Massage Therapist | 3007 6th Ave, Tacoma, WA 98406-6202 | 2008-12-04 |
| 1134348881 | Tammy Sue Bentley | Massage Therapist | 3007 6th Ave, Tacoma, WA 98406-6202 | 2007-04-24 |
| 1760538086 | Matthew Spencer Brignall | Naturopath | 3007 6th Ave, Tacoma, WA 98406-6202 | 2007-01-27 |
| 1831262211 | Commencement Bay Natural Medicine | Naturopath | 3007 6th Ave, Tacoma, WA 98406-6202 | 2006-11-16 |
| 1932288016 | Molly R Brignall | Naturopath | 3007 6th Ave, Tacoma, WA 98406-6202 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
| Find all providers in zip 98406 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096238 | Physio Movement & Performance, Pllc | Clinic/Center | 615 S Baker St, Tacoma, WA 98402-2318 | 2020-03-02 |
| 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 |
| 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.