Provider Demographics
NPI:1366197881
Name:PENULTIMATE STEP REHAB, PLLC
Entity type:Organization
Organization Name:PENULTIMATE STEP REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:253-409-8004
Mailing Address - Street 1:23918 233RD WAY SE
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5217
Mailing Address - Country:US
Mailing Address - Phone:206-799-1754
Mailing Address - Fax:
Practice Address - Street 1:23150 224TH PL SE
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-8279
Practice Address - Country:US
Practice Address - Phone:253-409-8004
Practice Address - Fax:253-409-2654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy