MR. GREG J PANG (NPI# 1457520223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457520223 |
| Entity Type | Individual |
| Full Name | MR. GREG J PANG |
| Credential | LMP |
| Practice Address |
500 Sw 39th St Renton WA 98057 |
| Practice Telephone | 4252642590 |
| Practice Fax Number | 4252642591 |
| Mailing Telephone | 4252642590 |
| Mailing Fax Number | 4252642591 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247200000X | Technician, Other | MA00003943 | WA | Technologists, Technicians & Other Technical Service Providers |
| Y | 172M00000X | Mechanotherapist | MA00003943 | WA | Other Service Providers |
| Street Address |
500 SW 39TH ST |
| City | RENTON |
| State | WA |
| Zip Code | 98057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708398 | Timothy D Stensby | Physical Therapist | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2005-08-23 |
| 1154665602 | Wendy Blair | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2012-11-22 |
| 1154683563 | Bethany L Card | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2012-06-12 |
| 1003181942 | Adam Christopher Pazder | Dietitian, Registered | 500 Sw 39th St, Ste 150, Renton, WA 98057-4915 | 2012-03-10 |
| 1710270210 | Carol Jean White | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2011-05-17 |
| 1700031861 | Dwayne Eric Hammond | Physician Assistant | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-11-17 |
| 1023262896 | Stacey Debra Oberst Peterson | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-11-06 |
| 1558518829 | Nutrition Solutions, LLC | Nutritionist | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-08-19 |
| 1861648420 | Raven Bonnar-pizzorno | Dietitian, Registered | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2008-08-14 |
| 1457540825 | Martin Muy-rivera | Physician Assistant | 500 Sw 39th St, Suite 150, Renton, WA 98057-4915 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356621882 | Patricia D Johnson | Mechanotherapist | 16159 Parkside Way Se, Renton, WA 98058-4223 | 2011-08-29 |
| 1588879332 | Michelle Kathleen Estes | Mechanotherapist | 10904 Se 176th St, Renton, WA 98055-5678 | 2007-05-14 |
| 1437374105 | James Samuel Frank | Mechanotherapist | 1200 Grant Ave S, #w201, Renton, WA 98055-3053 | 2007-04-16 |
| 1275757197 | Jillian M Boucek | Mechanotherapist | 19030 108th Ave Se, Ste 1, Renton, WA 98055-6425 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024059 | Island Wellness Center | Mechanotherapist | 470 Spring St Ste 103, Friday Harbor, WA 98250-7230 | 2017-03-21 |
| 1710425418 | Diana Diamond | Mechanotherapist | 13307 28th Ave Se, Mill Creek, WA 98012-4641 | 2017-02-02 |
| 1568909711 | Marisa Seana Wentz | Mechanotherapist | 307 S 12th Ave Ste 9, Yakima, WA 98902-3138 | 2017-01-26 |
| 1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
| 1235680505 | Nataliya Soroka | Mechanotherapist | 26818 115th Pl Se, Kent, WA 98030-8478 | 2016-10-20 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1942754668 | Kassandra Bizauskas | Mechanotherapist | 100 Station Drive Suite 100, Dupont, WA 98327-8727 | 2016-08-10 |
| 1033562368 | Michael Coffey | Mechanotherapist | 9508 Ne 70th St, Vancouver, WA 98662-4536 | 2016-07-21 |
| 1558713248 | Angela Wapner | Mechanotherapist | 139 23rd Ave S, Seattle, WA 98144-2301 | 2016-07-06 |
| 1992156004 | Barbara Federspiel | Mechanotherapist | 1489 Hillspring Rd, Bellingham, WA 98226-8825 | 2016-06-29 |
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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.