NPIMap

Organization Active NPI

Pain Science Physical Therapy

  • Physical Therapy Clinic/Center
  • Burien, WA
National Provider Identifier
1053545319
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PAIN SCIENCE PHYSICAL THERAPY
Practice address
15511 3Rd Ave SW
Burien, WA 98166-2531
Phone
(206) 327-9880
Fax
(206) 327-9977
NPI assigned
May 14, 2009
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Dr. Orit Stephanie Hickman, DPTNPI 1841352143
Title
Doctor of Physical Therapy
Phone
(206) 327-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00010537 WA
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

15511 3Rd Ave SW
Burien, WA 98166-2531

Mailing address

15511 3Rd Ave SW
Burien, WA 98166-2531
Phone (206) 327-9880

Other names 1

  • Lake Burien Physical Therapy, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

15511 3rd Ave SW
Burien, WA 98166
Phone (206) 209-8005

15811 Ambaum Blvd SW
Ste 140
Burien, WA 98166
Phone (206) 327-9880

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1053545319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15511 3RD AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662531",
            "telephone_number": "206-327-9880",
            "fax_number": "206-327-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15511 3RD AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662531",
            "telephone_number": "206-327-9880",
            "fax_number": "206-327-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SCIENCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ORIT",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "206-327-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00010537",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Burien Physical Therapy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.