Active NPI
Northsound Physical Therapy, Inc.
- Physical Therapist
- Stanwood, WA
National Provider Identifier
1053304642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl H Hedeen, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927117 | Other | WA | DEPT OF L&I CRIME VICTIMS |
| NO0049 | Other | WA | REGENCE BLUE SHIELD GRP# |
| 78775 | Other | WA | L&I GROUP NUMBER |
| 7043235 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Stanwood, WA
- NPI 1538112073
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.