Therapydia of Washington PC
NPI 1902643992 · Physical Therapist · Vancouver, WA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1902643992
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Leaver, Ceo(616) 356-5000
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Mailing address
Additional practice locations (6)
- 19910 S Prairie Rd EBonney Lake, WA 98391-7901Phone: (253) 750-5997Fax: (253) 750-0463
- 9909 224th St E Unit 100bGraham, WA 98338-7086Phone: (253) 780-4965Fax: (253) 780-4881
- 5701 N 26th StTacoma, WA 98407-2408Phone: (253) 507-7450Fax: (253) 507-7572
- 223 140th St STacoma, WA 98444-4531Phone: (253) 531-5645Fax: (253) 536-3467
- 4114 Bridgeport Way WUniversity Place, WA 98466-4315Phone: (253) 210-4478Fax: (253) 210-4477
- 1125 Se 163rd Pl Ste 102Vancouver, WA 98683-4468Phone: (360) 768-4340
Registry dates
- Enumerated
- 2024-07-09
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.