Active NPI
Noah Park
- Physical Therapist
- Seattle, WA
National Provider Identifier
1053208637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT70003112
- Practice address
- 3290 NE 65TH St Unit 101
Seattle, WA 98115-7200 - Phone
- (206) 388-2549
- NPI assigned
- Jun 18, 2025
- Sex
- Unspecified or another gender identity
- 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 | PT70003112 | WA | Primary |
Addresses
Primary practice location
3290 NE 65TH St Unit 101
Seattle, WA 98115-7200
Mailing address
8750 Greenwood Ave N Ste S1
Seattle, WA 98103-3684
Phone (206) 782-5789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT70003112 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwood Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
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.
-
dba Greenwood Physical Therapy
- Physical Therapist
- Seattle, WA
- NPI 1982786596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1053208637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 GREENWOOD AVE N STE S1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981033684",
"telephone_number": "206-782-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 NE 65TH ST UNIT 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157200",
"telephone_number": "206-388-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT70003112",
"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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.