TAMARA DZIADEK


Address: 1106 Hazel St, Port Angeles, WA 98363-2302
Phone: 3604179484

TAMARA DZIADEK (NPI# 1417956061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 7093230 05
WA PALMETTO GBA RR MEDICAREB P00209911 01

Office Location

Street Address 1106 HAZEL ST
City PORT ANGELES
State WA
Zip Code 98363-2302

Providers in the same zip code

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 Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871829879 Keri Poffel Physical Therapist 1309 S I St, Port Angeles, WA 98363-6830 2009-10-26

Providers in the same taxonomy and state

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
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Competitor

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City PORT ANGELES
Zip Code 98363

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Dataset Information

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.

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