OrganizationActive
Van Wagner Ventures LLC
NPI 1073614525 · Physical Therapist · Kent, WA
Provider details
- NPI number
- 1073614525
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Patricia Vanwagner, Owner(206) 595-5085
- License
- 5028 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22710 126th Pl Se
Kent, WA 98031-3666
Phone: (206) 595-5085
Street-level locationGet directions
Mailing address
22710 126th Pl Se
Kent, WA 98031-3666
Other names (DBA / former)
- Doing business as
- Inhome Rehab of Washington
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.