Organization Active NPI

Cascade Dizziness Physical Therapy PLLC

Doing business as Cascade Dizziness & Balance PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1073948378
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008718 Issued in WA
Legal business name
CASCADE DIZZINESS PHYSICAL THERAPY PLLC
Doing business as
Cascade Dizziness & Balance PT
Practice address
120 Lakeside Ave
Suite 210
Seattle, WA 98122-6533
Phone
(206) 925-3762
Fax
(206) 324-3600
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Lisa Eaton, PT
Title
Member/Manager
Phone
(206) 925-3762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00008718 WA Primary

Addresses

Primary practice location

120 Lakeside Ave
Suite 210
Seattle, WA 98122-6533

Mailing address

120 Lakeside Ave
Suite 210
Seattle, WA 98122-6533
Phone (206) 925-3762

Other names 1

  • Cascade Dizziness & Balance PT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202001352 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183850845 Receives reassigned benefits from 6 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

120 Lakeside Ave
Ste 210
Seattle, WA 98122
Phone (206) 405-1864

Practitioners & affiliated clinicians

Practitioners 6

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1073948378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226533",
            "telephone_number": "206-925-3762",
            "fax_number": "206-324-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226533",
            "telephone_number": "206-925-3762",
            "fax_number": "206-324-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DIZZINESS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "206-925-3762",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Dizziness & Balance PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2017; 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.