THERAPY MANAGEMENT SERVICES, PLLC (NPI# 1689224982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689224982 |
| Entity Type | Organization |
| Organization Name | THERAPY MANAGEMENT SERVICES, PLLC |
| Other Organization Name | PERFORMANCE PHYSICAL THERAPY - BONNEY LAKE |
| Practice Address |
21525 State Route 410 E Ste B Bonney Lake WA 98391-4101 |
| Mailing Address |
915 118th Ave Se Ste 110 Bellevue WA 98005-3875 |
| Practice Telephone | 2538268520 |
| Practice Fax Number | 2538268522 |
| Mailing Telephone | 4254509474 |
| Mailing Fax Number | 4254520704 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | DWAN AYALA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4254509474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Performance Physical Therapy | Doing Business As Name - Organization |
| Performance Physical Therapy - Bonney Lake | Doing Business As Name - Organization |
| Performance Physical Therapy - Enumclaw | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2726 Griffin Ave Ste C, Enumclaw, WA 980222362 | 3608026757 | 3608026756 |
| 3021 Griffin Ave, Enumclaw, WA 980222369 | 3608026757 | 3608026756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505678 | Therapy Management Services, Pllc | Physical Therapist | 6659 Kimball Dr Ste A101, Gig Harbor, WA 98335-5138 | 2019-08-30 |
| 1295207983 | Therapy Management Services, Pllc | Occupational Therapist | 4704 Bridgeport Way W, University Place, WA 98466-4204 | 2018-12-19 |
| 1104325877 | Therapy Management Services, Pllc | Physical Therapist | 27005 168th Pl Se Ste 203, Covington, WA 98042-4902 | 2018-02-07 |
| 1083112254 | Therapy Management Services, Pllc | Physical Therapist | 19400 108th Ave Se Ste 100, Kent, WA 98031-0108 | 2018-01-23 |
| 1295255354 | Therapy Management Services, Pllc | Physical Therapist | 10564 5th Ave Ne Ste 402, Seattle, WA 98125-7200 | 2017-06-20 |
| 1750801817 | Therapy Management Services, Pllc | Physical Therapist | 17924 140th Ave Ne Ste 200, Woodinville, WA 98072-4315 | 2017-06-20 |
| 1710330378 | Therapy Management Services, Pllc | Physical Therapist | 15600 Ne 8th St Ste A3, Bellevue, WA 98008-3917 | 2016-07-19 |
| 1326688698 | Therapy Management Services, Pllc | Durable Medical Equipment & Medical Supplies | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2020-01-14 |
| 1942846241 | Therapy Management Services, Pllc | Durable Medical Equipment & Medical Supplies | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-11-21 |
| 1275179699 | Therapy Management Services, Pllc | Dietitian, Registered | 14800 Starfire Way, Tukwila, WA 98188-8502 | 2019-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THERAPY MANAGEMENT SERVICES, PLLC | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 |
| Street Address |
21525 STATE ROUTE 410 E STE B |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| 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 |
|---|---|---|---|---|
| 1881772812 | Jonathan E Erickson | Physical Therapist | 21525 Hwy 410 E, Bonney Lake, WA 98391-4101 | 2006-11-01 |
| 1346232022 | Holly Pennington | Physical Therapist | 8910 184th Ave E, Bonney Lake, WA 98391-8531 | 2005-08-18 |
| 1588656284 | Kelly A Osborn | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2005-08-18 |
| 1609482553 | Jacob Henderson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-09-16 |
| 1609489657 | Morgan Highfill | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-08-28 |
| 1609487388 | Brandon Roadman | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2020-08-14 |
| 1386282242 | Jacob Erickson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-12-11 |
| 1285108647 | Jelani Naja Parker | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2019-01-17 |
| 1053807511 | Megan Hofstede | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 | 2018-07-09 |
| 1689163396 | Julie Yang | Physical Therapist | 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391-6540 | 2018-05-08 |
| Find all providers in BONNEY LAKE | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.