Unknown Individual – Orthopaedic Surgery Physician, NPI 1053315655

Unknown Individual is a healthcare provider. based in Lakewood, Washington. specializing in Orthopaedic Surgery Physician. They hold a License No. MD00011898 (WA). The NPI Number for Unknown Individual is 1053315655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053315655
Phone
(253) 582-7257
Address
7308 BRIDGEPORT WAY W
Deactivation Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • MVP Physical Therapy, 7308, Bridgeport Way West, Chandlewych Glen, Lakewood, Pierce County, Washington, 98499-8398, United States

    STE 201

    LAKEWOOD, WA 984998000

    Phone: (253) 582-7257

    Fax: (253) 582-1617

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98499)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1053315655 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lakewood, Washington may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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