Unknown Individual – Physical Therapy Assistant, NPI 1235342254

Unknown Individual is a healthcare provider. based in Federal way, Washington. specializing in Physical Therapy Assistant. The NPI Number for Unknown Individual is 1235342254

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235342254
Phone
(866) 835-8091
Address
1010 S. 336TH ST.
Deactivation Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Granville Park, 1010, South 336th Street, Kitts Corner, Federal Way, King County, Washington, 98003, United States

    SUITE 120

    FEDERAL WAY, WA 98003

    Phone: (866) 835-8091

    Fax: (866) 835-7102

    Type: Location

  • 11714 101ST AVE E

    PUYALLUP, WA 983733677

    Phone: (253) 845-8071

    Type: Mailing

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 98003)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1235342254.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Federal Way, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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