NPIMap

Organization Active NPI

Run Seattle Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1023474202
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60277365 Issued in WA
Legal business name
RUN SEATTLE PHYSICAL THERAPY PLLC
Practice address
106 Lakeside Ave
Seattle, WA 98122-6542
Phone
(206) 465-5650
Fax
(206) 257-5562
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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

Authorized official

Name
Mrs. Erin Noel Coomer, D.P.T.NPI 1790811735
Title
Physical Therapist/Owner
Phone
(206) 465-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT60277365 WA Primary

Addresses

Primary practice location

106 Lakeside Ave
Seattle, WA 98122-6542

Mailing address

3808 E Superior St
Seattle, WA 98122-6566
Phone (206) 601-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180317000020 WA Part B Supplier - Clinic/Group Practice 9638431372 Receives reassigned benefits from 5 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491091200000",
    "number": "1023474202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 E SUPERIOR ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226566",
            "telephone_number": "206-601-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAKESIDE AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226542",
            "telephone_number": "206-465-5650",
            "fax_number": "206-257-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUN SEATTLE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2017-04-02",
        "status": "A",
        "authorized_official_last_name": "COOMER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "206-465-5650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60277365",
            "primary": true
        }
    ],
    "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 Apr 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.