Individual provider Active NPI

Elisha Bobrosky, LMP

  • Mechanotherapist
  • Mercer Island, WA
National Provider Identifier
1114195138
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00023364 Issued in WA
Practice address
7605 SE 27TH St
Suite 103
Mercer Island, WA 98040-2835
Phone
(206) 275-4870
Fax
(206) 275-4876
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA00023364 WA Primary

Addresses

Primary practice location

7605 SE 27TH St
Suite 103
Mercer Island, WA 98040-2835

Mailing address

4710 1/2 Woodland Park Ave N
Seattle, WA 98103-6657
Phone (206) 755-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00023364WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1114195138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 1/2 WOODLAND PARK AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036657",
            "telephone_number": "206-755-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "SUITE 103",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835",
            "telephone_number": "206-275-4870",
            "fax_number": "206-275-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROSKY",
        "first_name": "ELISHA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00023364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.