Organization Active NPI

Phillips Rehab and Performance

  • Physical Therapy Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1023846052
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHILLIPS REHAB AND PERFORMANCE
Practice address
14926 35TH Ave W Ste 200
Lynnwood, WA 98087-2412
Phone
(425) 405-0434
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Terrence Phillips
Title
Owner
Phone
(585) 520-0124

Specialties & licenses 1

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

Addresses

Primary practice location

14926 35TH Ave W Ste 200
Lynnwood, WA 98087-2412

Mailing address

525 240TH St SW
Bothell, WA 98021-8509

National Provider Directory

National Provider Directory

Locations

14926 35th Ave W
Ste 200
Lynnwood, WA 98087
Phone (425) 405-0434

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1023846052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 240TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14926 35TH AVE W STE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980872412",
            "telephone_number": "425-405-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-520-0124"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.