NPIMap

Organization Active NPI

Mti Physical Therapy Bellevue

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1083834816
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MTI PHYSICAL THERAPY BELLEVUE
Practice address
1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone
(425) 746-2475
NPI assigned
Apr 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Scott OlsonNPI 1821147406
Title
Owner PT
Phone
(425) 746-2475

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 1

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

Addresses

Primary practice location

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571

Mailing address

1560 140TH Ave NE
Suite 100
Bellevue, WA 98005-4571
Phone (425) 746-2475

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1560 140th Ave NE
Ste 100
Bellevue, WA 98005
Phone (425) 746-2475

Practitioners & affiliated clinicians

Practitioners 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083834816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 140TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054571",
            "telephone_number": "425-746-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTI PHYSICAL THERAPY BELLEVUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PT",
        "authorized_official_telephone_number": "425-746-2475"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.