Individual provider Active NPI

Amy C Lush, DPT

  • Physical Therapist
  • Bellingham, WA
National Provider Identifier
1043834898
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60794405 Issued in WA
Practice address
905 Squalicum Way Ste 104
Bellingham, WA 98225-2076
Phone
(350) 949-1274
Fax
(360) 470-7152
NPI assigned
Jun 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60794405 WA Primary

Addresses

Primary practice location

905 Squalicum Way Ste 104
Bellingham, WA 98225-2076

Mailing address

1140TH Street Ste 102
Bellingham, WA 98225-7052
Phone (360) 949-1274

Other identifiers 1

IdentifierTypeStateIssuer
PT60794405OtherWAPHYSICAL THERAPIST LICENSE

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT60794405WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Center for Healthy Motherhood PLLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

905 Squalicum Way
Ste 104
Bellingham, WA 98225
Phone (360) 526-2185

Organizations & group practices 1

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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1043834898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140TH STREET STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257052",
            "telephone_number": "360-949-1274",
            "fax_number": "360-470-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SQUALICUM WAY STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252076",
            "telephone_number": "350-949-1274",
            "fax_number": "360-470-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSH",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60794405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT60794405",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.