JOHN EDWARD PECKENPAUGH (NPI# 1235201880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235201880 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD PECKENPAUGH |
| Credential | PT |
| Practice Address |
17792 147th St Se Monroe WA 98272-1030 |
| Mailing Address |
16083 Sw Upper Boones Ferry Rd Suite 300 Tigard OR 97224-7736 |
| Practice Telephone | 3607944892 |
| Practice Fax Number | 3607944679 |
| Mailing Telephone | 8002198835 |
| Mailing Fax Number | 5036399699 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5558 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1235201880 | 05 | |
| WA | 7083330 | 05 | |
| WA | MEDICARE RR | P01310153 | 01 |
| Street Address |
17792 147TH ST SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538231113 | Mitchell Hisao Suzawa | Occupational Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
| 1952952202 | Integrated Rehabilitation Group, PC | Physical Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2019-09-26 |
| 1619366853 | Stacie Yumi Katahara | Physical Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2015-01-12 |
| 1215368683 | Therapeutic Associates, Inc. | Occupational Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2013-12-10 |
| 1447322185 | Macarthur Physical Therapy & Monroe Sports Therapy | Clinic/Center | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
| 1699847236 | Thomas Hugh Macarthur | Physical Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483765 | Komal Patel | Physical Therapist | 24 Rovna Ct, Monroe, NY 10950-7483 | 2020-10-02 |
| 1265040950 | Norliza San Mateo Mercado | Physical Therapist | 2803 Rosedale Dr, Monroe, LA 71201-3080 | 2020-07-19 |
| 1801416201 | Shelley Banks Mercer | Physical Therapist | 3707 Deborah Dr, Monroe, LA 71201-2109 | 2020-04-26 |
| 1265064760 | Dynamic Therapy Solutions, LLC | Physical Therapist | 442 E Frenchmans Bend Rd, Monroe, LA 71203-8852 | 2020-02-12 |
| 1104458686 | Sterlington Physical Therapy, LLC | Physical Therapist | 8649 Highway 165 N Ste 5, Monroe, LA 71203-8965 | 2020-02-12 |
| 1437794799 | Caitlin Hubbard Stolt | Physical Therapist | 107 N Westover Dr, Monroe, NC 28112-5254 | 2019-11-11 |
| 1023670676 | Karen Ann Tunney | Physical Therapist | 505 State Route 208 Ste 30, Monroe, NY 10950-1607 | 2019-07-03 |
| 1811551849 | Lauren Marie Dutcher | Physical Therapist | 265 Harriman Heights Rd, Monroe, NY 10950-3625 | 2019-04-25 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1578085015 | Anthony Nicholas Muscio | Physical Therapist | 18 Centre Dr Ste 101, Monroe, NJ 08831-1501 | 2017-07-15 |
| Find all providers in MONROE | ||||
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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.