Whatcom Community Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WHATCOM COMMUNITY PHYSICAL THERAPY

Practice address

143 W Kellogg Rd
Bellingham, WA 98226-8009

Phone

(623) 341-1779

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Paul Fitzgerald, DPTNPI 1376552968

Title

DPT, Owner

Phone

(623) 341-1779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Paul E. Fitzgerald, P.T.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1376552968
  Medicare reassignment Authorized official
• Sydney M Gibson, LMT

  • Massage Therapist
  • Bellingham, WA
  • NPI 1215595848
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1083187389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W KELLOGG RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W KELLOGG RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268009",
            "telephone_number": "623-341-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHATCOM COMMUNITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DPT, OWNER",
        "authorized_official_telephone_number": "623-341-1779",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazen Wharton-Ali
• Whatcom Alliance for Healthcare Access (Whatcom Alliance for Health Advancement)
• Whatcom ASC LLC (Bellingham Ambulatory Surgery Center)
• Whatcom Center for Early Learning
• Whatcom Chiropractic Center PS
• Whatcom Counseling & Psychiatric Clinic
• Whatcom Counseling & Psychiatric Clinic
• Whatcom Counseling & Psychiatric Clinic (Westcoast Counseling & Treatment Center)
• Whatcom Counseling & Psychiatric Clinic
• Whatcom County Council on Aging (Whtacom Council on Aging)

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.