Physiotherapy Associate Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSIOTHERAPY ASSOCIATE INC

Practice address

1301 4TH Ave NW
Suite 300
Issaquah, WA 98027-9371

Phone

(425) 392-0617

Fax

(425) 392-2203

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Jayne F Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Bellevue, WA
  • NPI 1205874690

  O20050315000887

  Same enrollment
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Sumner, WA
  • NPI 1497793004

  O20050315000887

  Same enrollment
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Kent, WA
  • NPI 1497793590

  O20050315000887

  Same enrollment

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1073876595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753768",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW",
            "address_2": "SUITE 300",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-392-0617",
            "fax_number": "425-392-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phenix Physical Therapy & Personal Wellness, LLC
• Brittany C Philio, PA-C
• Michael J Phillips, PSY.D.
• Vivien Johnette Phillips, PSY.D.
• Charlie L Phu, PA-C
• Allison Frances Pick, DPT
• Menze Pickering
• Deanna Christine Pierce, OTR
• McKayla Jo Pietrowski
• Nicole Meridian Pihl, DPT

• Rehabilitation Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.