Organization Active NPI

Northsound Physical Therapy, Inc.

  • Physical Therapist
  • Stanwood, WA
National Provider Identifier
1053304642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHSOUND PHYSICAL THERAPY, INC.
Practice address
27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone
(360) 629-7528
Fax
(360) 629-7632
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl H Hedeen, PTNPI 1538112073
Title
Vice President
Phone
(360) 629-7528

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092

Mailing address

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-7528

Other identifiers 4

IdentifierTypeStateIssuer
8927117OtherWADEPT OF L&I CRIME VICTIMS
NO0049OtherWAREGENCE BLUE SHIELD GRP#
78775OtherWAL&I GROUP NUMBER
7043235MedicaidWA

National Provider Directory

National Provider Directory

Locations

4420 106th St SW
Mukilteo, WA 98275
Phone (425) 212-1810

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053304642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528",
            "fax_number": "360-629-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528",
            "fax_number": "360-629-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSOUND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDEEN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-629-7528",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I CRIME VICTIMS",
            "identifier": "8927117",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD GRP#",
            "identifier": "NO0049",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP NUMBER",
            "identifier": "78775",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7043235",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

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