TAMARA DZIADEK PT NPI 1417956061

NPI Information

  • NPI: 1417956061
  • Provider Name: TAMARA DZIADEK, PT
  • Classification: Physical Therapist - 2251G0304X
  • Specialization: Geriatrics
  • Entity Type: Individual
  • Address: 1106 HAZEL ST
    PORT ANGELES, WA
    ZIP 98363
  • Phone: (360) 417-9484

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NPI Details

Tamara Dziadek, PT is a geriatrics physical therapist in Port Angeles, WA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. Tamara Dziadek, PT NPI is 1417956061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1106 HAZEL ST
PORT ANGELES, WA
ZIP 98363-302
Phone: (360) 417-9484
Fax: (360) 417-8826

The enumeration date for this NPI number is 7/16/2005 and was last updated on 2/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistPT00006788WASHINGTONNo
22251G0304XPhysical TherapistGeriatricsPT00006788WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S69201MEDICARE UPINWASHINGTON
2P00209911OTHERWASHINGTONPALMETTO GBA RR MEDICAREB
37093230MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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