Active NPI
Boundless Therapy, PLLC
- Physical Therapist
- Lake Stevens, WA
National Provider Identifier
1013592005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BOUNDLESS THERAPY, PLLC
- Practice address
- 1709 124TH Ave NE
Lake Stevens, WA 98258-9814 - Phone
- (360) 347-6238
- NPI assigned
- Mar 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander W Szewczyk
- Title
- Physical Therapist/Owner
- Phone
- (360) 347-6238
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
1709 124TH Ave NE
Lake Stevens, WA 98258-9814
Mailing address
1709 124TH Ave NE
PO Box 341
Lake Stevens, WA 98258
Other names 1
- Boundless Physical Therapy
National Provider Directory
National Provider DirectoryLocations
1709 124th Ave NE
Unit 341
Lake Stevens, WA 98258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1013592005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 124TH AVE NE",
"address_2": "PO BOX 341",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "98258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 124TH AVE NE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982589814",
"telephone_number": "360-347-6238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUNDLESS THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "SZEWCZYK",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "360-347-6238"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boundless Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Boundless Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.