Active NPI
Urban Fitness and Health Club LLC
- Physical Therapist
- Mount Vernon, WA
National Provider Identifier
1093210759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002005
- Legal business name
- URBAN FITNESS AND HEALTH CLUB LLC
- Practice address
- 525 E College Way
Mount Vernon, WA 98273-5571 - Phone
- (206) 999-9310
- NPI assigned
- Mar 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Don Clark Labourr, PT
- Title
- Owner
- Phone
- (206) 999-9310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002005 | WA | Primary |
Addresses
Primary practice location
525 E College Way
Mount Vernon, WA 98273-5571
Mailing address
21802 37TH PL W
Brier, WA 98036-8090
Phone (206) 999-9310
Other names 1
- Urban Fitness and Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522022400000",
"number": "1093210759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21802 37TH PL W",
"city": "BRIER",
"state": "WA",
"postal_code": "980368090",
"telephone_number": "206-999-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E COLLEGE WAY",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735571",
"telephone_number": "206-999-9310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBAN FITNESS AND HEALTH CLUB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-26",
"last_updated": "2018-03-26",
"status": "A",
"authorized_official_last_name": "LABOURR",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-999-9310",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urban Fitness and Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.