ADVANCED PHYSICAL THERAPY & BALANCE REHABILITATION LLC (NPI# 1629071394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629071394 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSICAL THERAPY & BALANCE REHABILITATION LLC |
| Practice Address |
1901 S Union Ave Ste B7011 Tacoma WA 98405-1807 |
| Practice Telephone | 2536277012 |
| Practice Fax Number | 2536277014 |
| Mailing Telephone | 2536277012 |
| Mailing Fax Number | 2536277014 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL J KUBIK (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 2536277012 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7123797 | 05 |
| Street Address |
1901 S UNION AVE STE B7011 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183345 | Alex Marie Goode | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-31 |
| 1871191239 | Amy N Winter | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-16 |
| 1417555251 | Aleah Driscoll | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-14 |
| 1982211470 | Vanessa Gray | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-09-28 |
| 1386258192 | Julia Raquel Teall | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-31 |
| 1073126033 | Hannah Rose Hugo | Dietitian, Registered | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-28 |
| 1538786124 | Ashley Jane Wells | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-06-29 |
| 1750917878 | Elizabeth Eredia | Behavior Technician | 1901 S Union Ave, Allenmore Building B Suite 6007, Tacoma, WA 98405 | 2020-03-20 |
| 1083252225 | Arianna Pernela | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2019-12-18 |
| 1821565409 | Stella Chiu | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
| 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 |
| 1205163524 | Peckham Enterprises, LLC | Clinic/Center | 3007 6th Ave, Tacoma, WA 98406-6202 | 2009-11-06 |
| 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.