Therapeutic Associates Inc
Organization Active NPI Physical Therapist · Bothell, WA
NPI 1114376563 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1114376563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 17901 Bothell Everett Hwy
Suite F-104
Bothell, WA 98012-6387 - Phone
- (800) 219-8835
- Fax
- (503) 639-9699
- NPI assigned
- Jun 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Melissa Hamilton
- Title
- Dir Payer & Provider Relations
- Phone
- (503) 443-6156
Other NPIs on the same Medicare enrollment 38
Corporate family (same tax ID) 14
Practitioners 789
-
Stephen Harris, DPT
-
Julie Vu Mai, PT, DPT
-
Steve Whitaker, DPT
-
Stephanie Hetto, PT, DPT
-
Ahmed Ali, DPT
-
Stephen Edward Anderson, PHYSICAL THERAPIST
-
Katherine Lee Baker, DPT
-
Kellie Anna Baker, DPT
-
Zachary P Bauling, PT, DPT
-
Matthew Allen Beckner, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000117 | WA | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 127 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Seattle, WA; Selah, WA; Shoreline, WA; Spokane, WA; Liberty Lake, WA; Spokane Valley, WA; Tacoma, WA; University Place, WA… |
National Provider Directory
- Tax ID family
- Sally J Miller PT
Locations
17901 Bothell Everett Hwy
Ste F104
Bothell, WA 98012
Phone (425) 424-3924
17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924
3121 E Madison St
Ste 201
Seattle, WA 98112
Phone (206) 324-5389
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
17901 Bothell Everett Hwy
Suite F-104
Bothell, WA 98012-6387
Mailing address
16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (425) 424-3924
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244743200 | Other | WA | OWCP |
| 1114376563 | Medicaid | WA |
Other names
- TAI - North Creek
Other providers in Bothell, WA
- Megan Thaman
- Zak Thatcher
- The Bartell Drug Co
- The Behavior Place
- The Rivers Wellness and Advocacy Foundation
- Therapeutic Associates Inc
- Therapy Management Services, PLLC
- Therapy Management Services, PLLC
- Tammy Rena Thiessen
- Javiely Bermudez Thode
All providers in Bothell, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.