TAMARA DZIADEK (NPI# 1417956061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417956061 |
| Entity Type | Individual |
| Full Name | TAMARA DZIADEK |
| Credential | PT |
| Practice Address |
1106 Hazel St Port Angeles WA 98363-2302 |
| Practice Telephone | 3604179484 |
| Practice Fax Number | 3604178826 |
| Mailing Telephone | 3604179484 |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2015-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT00006788 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT00006788 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7093230 | 05 | |
| WA | PALMETTO GBA RR MEDICAREB | P00209911 | 01 |
| Street Address |
1106 HAZEL ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98363-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073185 | Sandra Lier | Technician | 1064 Freshwater Park Rd., Port Angeles, WA 98363 | 2019-09-20 |
| 1053969451 | Kari Ann Walen | Physician Assistant | 4407 Fairmont Ave, Port Angeles, WA 98363 | 2019-08-28 |
| 1407313059 | Christina Chadick | Counselor | 243511 Hwy 101 W., Port Angeles, WA 98363 | 2019-03-01 |
| 1982198214 | Serenity House of Clallam County | Case Management | 2203 W. 18th Street, Port Angeles, WA 98363 | 2018-06-20 |
| 1528564325 | Katelynne Mcdaniels | Behavior Technician | 1915 West 5th St, Port Angeles, WA 98363 | 2018-04-02 |
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1710314703 | Allan M Steigerwald | Anesthesiology | 4217 South Bean Road, Port Angeles, WA 98363 | 2013-10-04 |
| 1033431010 | Jean Leslie Kruger | Counselor | 3080 Lower Elwha Road, Port Angeles, WA 98363 | 2010-02-18 |
| 1518297001 | John Robert Zey | General Practice | 601 Diamond Vista Drive, Port Angeles, WA 98363 | 2010-01-05 |
| 1043540651 | Connie Lou Landrum | General Practice | 641 Diamond Vista Dr, Port Angeles, WA 98363 | 2010-01-04 |
| Find all providers in zip 98363 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871829879 | Keri Poffel | Physical Therapist | 1309 S I St, Port Angeles, WA 98363-6830 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724475 | Aaron Scheidies | Physical Therapist | 2121 N 113th St, Unit A, Seattle, WA 98133-8502 | 2016-12-15 |
| 1255780961 | Kenneth James Overman | Physical Therapist | 17518 123rd Ave Ne, Crown Hill - Seven Springs, Arlington, WA 98223-7973 | 2016-06-03 |
| 1992127229 | Marissa Reis | Physical Therapist | 1211 Sw 132nd Ln Apt 412, Burien, WA 98146-4009 | 2014-01-06 |
| 1801226444 | Tracy Ann Grimes | Physical Therapist | 7231 Highlands Dr Ne, Olympia, WA 98516-2134 | 2013-11-18 |
| 1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
| 1225338874 | Bothell Pediatric and Hand Therapy | Physical Therapist | 18501 Bothell Way Ne, Bothell, WA 98011 | 2010-10-29 |
| 1164754818 | Mary Delap Sandstrom | Physical Therapist | 956 21st Ave E, Seattle, WA 98112-3511 | 2010-02-05 |
| 1518165372 | Debra Marie Robert | Physical Therapist | 835 Madison Ave North, Bainbridge Island, WA 98110 | 2007-07-03 |
| 1467540039 | Sharon Annette Hall | Physical Therapist | 14204 S Andrus Rd, Cheney, WA 99004-9059 | 2006-10-10 |
| 1013005800 | Lee Robert Skogan | Physical Therapist | 4192 Stoney Brook Ln, Bellingham, WA 98229 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98363 |
Please comment or provide details below to improve the information on TAMARA DZIADEK.
| 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.