Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Summit Physical Therapy PLLC, Therapy Management Services, PLLC, Summit Physical Therapy, RET Physical Therapy & Healthcare Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN DIAZ (CC)
(813) 560-8157
Entity
Organization
Contact information
Practice address
3801 5TH ST SE STE 220, PUYALLUP, WA 98374-2106
(253) 445-4258
(253) 445-4724
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(813) 560-8157
(425) 450-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180089
L & I
—
01
—
0185052
L & I
—
01
—
0189941
L & I
—
01
—
1518031467
NPI
—
01
—
1649287582
NPI
—
01
—
1730196676
NPI
—
01
—
1821005760
NPI
—
05
—
8341125
—
WA
05
—
8368854
—
WA
05
—
8368946
—
WA
05
—
8409393
—
WA
Enumeration date
12/18/2006
Last updated
11/30/2022
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