Individual provider Active NPI

Aimee Lake, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1013242734
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
WA60081938 Issued in WA
Practice address
8750 Greenwood Ave N Ste S1
Seattle, WA 98103-3684
Phone
(206) 782-5789
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18536 MA
Orthopedic Physical Therapist 2251X0800X WA60081938 WA Primary
Orthopedic Physical Therapist 2251X0800X PT60174566 WA

Addresses

Primary practice location

8750 Greenwood Ave N Ste S1
Seattle, WA 98103-3684

Mailing address

8750 Greenwood Ave N Ste S1
Seattle, WA 98103-3684
Phone (206) 782-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60174566WAMDOrthopedic Physical Therapist
WA60081938WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmeling Physical Therapy & Sports Fitness, Inc. Physical Therapist Past Accepting new patients
Greenwood Physical Therapy PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1013242734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 GREENWOOD AVE N STE S1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033684",
            "telephone_number": "206-782-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 GREENWOOD AVE N STE S1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033684",
            "telephone_number": "206-782-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "AIMEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18536",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "WA60081938",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60174566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.