NPIMap

Organization Active NPI

Alpine Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Vancouver, WA
National Provider Identifier
1003319088
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALPINE PHYSICAL THERAPY PLLC
Practice address
109 SE 101St Ave
Vancouver, WA 98664-3907
Phone
(206) 284-2396
Fax
(206) 547-9286
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Eli Zygmunoticz, DPT
Title
Owner
Phone
(206) 284-2396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

109 SE 101St Ave
Vancouver, WA 98664-3907

Mailing address

3800 Woodland Park Ave N Ste 100
Seattle, WA 98103-7943
Phone (206) 284-2396

National Provider Directory

National Provider Directory

Locations

3800 Woodland Park Ave N
Ste 100
Seattle, WA 98103
Phone (206) 284-2396

109 SE 101st Ave
Vancouver, WA 98664
Phone (360) 256-6748

Practitioners & affiliated clinicians

Practitioners 6

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": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1003319088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODLAND PARK AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037943",
            "telephone_number": "206-284-2396",
            "fax_number": "206-547-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SE 101ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643907",
            "telephone_number": "206-284-2396",
            "fax_number": "206-547-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "ZYGMUNOTICZ",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-284-2396",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.