Unknown Individual – Physical Therapist, NPI 1790743243

Unknown Individual is a healthcare provider. based in Gig harbor, Washington. specializing in Physical Therapist. The NPI Number for Unknown Individual is 1790743243

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790743243
Phone
(253) 853-7956
Address
5775 SOUNDVIEW DR
Deactivation Date
14 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5775, Soundview Drive, Gig Harbor, Pierce County, Washington, 98335, United States

    B103

    GIG HARBOR, WA 98335

    Phone: (253) 853-7956

    Fax: (253) 853-7958

    Type: Mailing

  • 135, Jefferson Avenue, Buckley, Pierce County, Washington, 98321, United States

    SUITE G

    BUCKLEY, WA 98321

    Phone: (360) 829-6300

    Fax: (360) 829-9040

    Type: Location

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 98335)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1790743243 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Gig Harbor, Washington for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.