Summit Physical Therapy - Medicare in Puyallup, WA

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Summit Physical Therapy is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Puyallup, Washington. Their current practice location is 3801 5th St Se Ste 220, Puyallup, Washington. You can reach out to their office (for appointments etc.) via phone at (253) 445-4258.

Summit Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Summit 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 1164585774.

Contact Information

Summit Physical Therapy
3801 5th St Se Ste 220,
Puyallup, WA 98374-2106
(253) 445-4258
(253) 445-4724

Map and Direction




Healthcare Provider's Profile

Full NameSummit Physical Therapy
TypeFacility
SpecialityDurable Medical Equipment & Medical Supplies
Location3801 5th St Se Ste 220, Puyallup, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164585774
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123017811
  • Enrollment ID: O20040507001322

Medical Identifiers

Medical identifiers for Summit Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164585774NPI-NPPES
1730196676OtherNPI
8368854MedicaidWA
0180089OtherL & I
0185052OtherL & I
8341125MedicaidWA
1518031467OtherNPI
1821005760OtherNPI
8368946MedicaidWA
0189941OtherL & I
1649287582OtherNPI
8409393MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225XH1200XOccupational Therapist - Hand (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Primary
332BC3200XDurable Medical Equipment & Medical Supplies - Customized Equipment (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Summit Physical Therapy acts as a billing entity for following providers:
Provider NameMichael B Bishop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871570754
PECOS PAC ID: 2163318221
Enrollment ID: I20040310001396
Provider NameCraig Bryan Faeth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205890936
PECOS PAC ID: 3779576897
Enrollment ID: I20040405001793
Provider NameEarl E Brewer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730196676
PECOS PAC ID: 4486643178
Enrollment ID: I20040511000346
Provider NameTracy E Springman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114965001
PECOS PAC ID: 6204727076
Enrollment ID: I20040602000147
Provider NameElizabeth A Lyter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710902275
PECOS PAC ID: 9133181712
Enrollment ID: I20041027000728
Provider NameIan A Johnsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851466411
PECOS PAC ID: 2264471325
Enrollment ID: I20050427001344
Provider NameDenise L Hayes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639257694
PECOS PAC ID: 8527099050
Enrollment ID: I20050824001138
Provider NameRonald James Tyler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477799534
PECOS PAC ID: 9436179249
Enrollment ID: I20051122000794
Provider NameWilliam R Pfister
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780619239
PECOS PAC ID: 4385541234
Enrollment ID: I20060214000633
Provider NameStacey R Cooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528000320
PECOS PAC ID: 7012920358
Enrollment ID: I20060803000090
Provider NameShelly A Norvell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558561423
PECOS PAC ID: 8628126703
Enrollment ID: I20090429000183
Provider NameBenjamin J Kevan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508199670
PECOS PAC ID: 3072650456
Enrollment ID: I20091019000128
Provider NameBeverly Andersen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144284324
PECOS PAC ID: 6608906698
Enrollment ID: I20101029000919
Provider NameRozanni Senanayake
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376665786
PECOS PAC ID: 1557354545
Enrollment ID: I20110215000144
Provider NameAshley D Darnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558640748
PECOS PAC ID: 0446423131
Enrollment ID: I20111025000098
Provider NameJessica O Gardner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497192629
PECOS PAC ID: 4385884568
Enrollment ID: I20130711000458
Provider NameStanislava Medigovik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316265804
PECOS PAC ID: 3476683707
Enrollment ID: I20151120002399
Provider NameMargret L Lyons
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598114472
PECOS PAC ID: 4183918030
Enrollment ID: I20160816000578
Provider NameEvan Schneider
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447659552
PECOS PAC ID: 0648491878
Enrollment ID: I20160919000026
Provider NameJayme-khanh Y Lu-garrigan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740699651
PECOS PAC ID: 3072733468
Enrollment ID: I20170321000027
Provider NameSarah E Steckel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730613084
PECOS PAC ID: 3779851910
Enrollment ID: I20170613000547
Provider NameNatalie S Allen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598281933
PECOS PAC ID: 8022382977
Enrollment ID: I20170915003195
Provider NameEmily J Nugen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457867822
PECOS PAC ID: 6406116110
Enrollment ID: I20180126002534
Provider NameDaniel Hagan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871095646
PECOS PAC ID: 7214299924
Enrollment ID: I20180316001286
Provider NameChenin M Roudebush
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477911097
PECOS PAC ID: 9931477791
Enrollment ID: I20181031001123
Provider NameCourtney M Coubertier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235784075
PECOS PAC ID: 1456681436
Enrollment ID: I20190918002728
Provider NameLaura Grace Simmons
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003459280
PECOS PAC ID: 3476972811
Enrollment ID: I20201002002810
Provider NameChristopher Blake White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801318852
PECOS PAC ID: 5890022768
Enrollment ID: I20201120001420
Provider NameLaura Elizabeth Fears
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1750982963
PECOS PAC ID: 2961815816
Enrollment ID: I20210113002510
Provider NameJennifer Barbara Jesski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972050144
PECOS PAC ID: 7214342393
Enrollment ID: I20210223002201
Provider NameYushi Wang
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1417546862
PECOS PAC ID: 0941619860
Enrollment ID: I20210505002757
Provider NameCaitlin Motte Cooney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821497264
PECOS PAC ID: 3375763774
Enrollment ID: I20210609002257
Provider NameMichal Shafir
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558937391
PECOS PAC ID: 9638571615
Enrollment ID: I20210713003545
Provider NameEvan James Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194246850
PECOS PAC ID: 4587067681
Enrollment ID: I20210727003299
Provider NameVanessa Maria Kopaniak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598337156
PECOS PAC ID: 3476958554
Enrollment ID: I20210827001434
Provider NameTenzin Choephel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013565647
PECOS PAC ID: 5597094201
Enrollment ID: I20211022001842
Provider NameBrandt Matthew Seward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770258774
PECOS PAC ID: 1456749233
Enrollment ID: I20211027002545
Provider NameTessa Josephine Dimock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811659915
PECOS PAC ID: 9739578741
Enrollment ID: I20211112001870
Provider NameSteven Stroup
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124694369
PECOS PAC ID: 0648667956
Enrollment ID: I20220504002531
Provider NameValerie Kristen Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144769621
PECOS PAC ID: 2466831284
Enrollment ID: I20220623003312
Provider NameTaylor A Miskech
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407488414
PECOS PAC ID: 3870921919
Enrollment ID: I20221101002652

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. Summit 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 AddressPractice Location Address
Summit Physical Therapy
1650 Lyndon Farm Ct Ste 300,
Louisville, KY 40223-5005

Ph: (813) 560-8157		Summit Physical Therapy
3801 5th St Se Ste 220,
Puyallup, WA 98374-2106

Ph: (253) 445-4258

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.