Providence Physical Therapy in Tumwater, WA - Medicare Clinic/Center Provider

Providence Physical Therapy is a medicare enrolled "Clinic/center - Rehabilitation" provider in Tumwater, Washington. Their current practice location is 4833 Tumwater Valley Dr Se, Tumwater, Washington. You can reach out to their office (for appointments etc.) via phone at (360) 493-4160.

Providence Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Providence Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1801989587.

Contact Information

	Providence Physical Therapy
	4833 Tumwater Valley Dr Se, Tumwater, WA 98501-4583
	(360) 493-4160
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Providence Physical Therapy
Type	Facility
Speciality	Clinic/center - Rehabilitation
Location	4833 Tumwater Valley Dr Se, Tumwater, Washington
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801989587
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0345151916
Enrollment ID: O20030807000028

Medical Identifiers

Medical identifiers for Providence Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801989587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Secondary
261QR0400X	Clinic/center - Rehabilitation	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Providence Physical Therapy Po Box 3087, Portland, OR 97208-3087 Ph: (425) 254-5566	Providence Physical Therapy 4833 Tumwater Valley Dr Se, Tumwater, WA 98501-4583 Ph: (360) 493-4160

Providence Physical Therapy - Medicare in Tumwater, WA