Summit Physical Therapy is a
Durable Medical Equipment & Medical Supplies based in Puyallup, Washington. Summit Physical Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
3801 5th St Se Ste 220, Puyallup, Washington. It can be reached at their office (for appointments etc.) via phone at
(253) 445-4258.
NPI number for Summit Physical Therapy is 1164585774 and their current mailing address is 1650 Lyndon Farm Ct Ste 300, Louisville, Kentucky. Summit Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164585774.
Healthcare Provider's Profile
| Full Name | Summit Physical Therapy |
|---|
| Type | Facility |
|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|
| Location | 3801 5th St Se Ste 220, Puyallup, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164585774
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 11/30/2022
Medical Identifiers
Medical identifiers for Summit Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164585774 | NPI | - | NPPES |
| 1730196676 | Other | | NPI |
| 8368854 | Medicaid | WA | |
| 0180089 | Other | | L & I |
| 0185052 | Other | | L & I |
| 8341125 | Medicaid | WA | |
| 1518031467 | Other | | NPI |
| 1821005760 | Other | | NPI |
| 8368946 | Medicaid | WA | |
| 0189941 | Other | | L & I |
| 1649287582 | Other | | NPI |
| 8409393 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice 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 |
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