NPIMap

Organization Active NPI

Everett Physical Therapy and Sport Performance Center PLLC

Doing business as Sports Physical Therapy Kirkland

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1003272675
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC
Doing business as
Sports Physical Therapy Kirkland
Practice address
10600 NE 68TH St
Suite C
Kirkland, WA 98033-7044
Phone
(425) 823-1389
Fax
(425) 820-3996
NPI assigned
Jan 12, 2016
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X WA Primary

Addresses

Primary practice location

10600 NE 68TH St
Suite C
Kirkland, WA 98033-7044

Mailing address

10600 NE 68TH St Ste C
Kirkland, WA 98033-7044
Phone (425) 823-1389

Other names 1

  • Sports Physical Therapy Kirkland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Everett Physical Therapy and Sport Performance Center PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10600 NE 68th St
Ste C
Kirkland, WA 98033
Phone (425) 823-1389

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1003272675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 NE 68TH ST STE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337044",
            "telephone_number": "425-823-1389",
            "fax_number": "425-820-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 NE 68TH ST",
            "address_2": "SUITE C",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337044",
            "telephone_number": "425-823-1389",
            "fax_number": "425-820-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT PHYSICAL THERAPY AND SPORT PERFORMANCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Physical Therapy Kirkland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports Physical Therapy Kirkland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.