Active NPI
Amy C Lush, DPT
- Physical Therapist
- Bellingham, WA
National Provider Identifier
1043834898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60794405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60794405 | Other | WA | PHYSICAL 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60794405 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellingham Center for Healthy Motherhood PLLC | Current | 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.
-
- Women's Health Nurse Practitioner
- Bellingham, WA
- NPI 1467833962
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.