Provider Demographics
NPI:1720158132
Name:RIGLER, STEVEN T (MSPT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:RIGLER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:
Practice Address - Street 1:32030 23RD AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6031
Practice Address - Country:US
Practice Address - Phone:253-946-4852
Practice Address - Fax:253-946-4862
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4072RIOtherREGENCE BLUE SHIELD
WAA005OtherTRICARE
WAAB33379Medicaid
WA8932012OtherCRIME VICTIMS
WA0291551OtherDEPT. OF LABOR AND INDUSTRIES
WA650024778OtherRAILROAD MED PIERCE CTY
WA8337297Medicaid
WA163458OtherDEPT OF LABOR & INDUSTRY
WA8932012OtherCRIME VICTIMS
WAAB33380Medicare ID - Type UnspecifiedKING COUNTY