Individual provider Active NPI

Justin Alexander Sweeney, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1114560943
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60996320 Issued in WA
Practice address
1124 Columbia St Ste P100
Seattle, WA 98104-2026
Phone
(206) 466-1918
NPI assigned
Oct 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60996320 WA Primary

Addresses

Primary practice location

1124 Columbia St Ste P100
Seattle, WA 98104-2026

Mailing address

1124 Columbia St Ste P100
Seattle, WA 98104-2026
Phone (206) 466-1918

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justin@bespoketreatments.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60996320WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Treatments Seattle PT PLLC Physical Therapist CurrentSince Oct 27, 2019 Accepting new patients
Vascular & Surgical Care Northwest, PLLC PastSince Oct 27, 2019 Accepting new patients

Locations

1124 Columbia St
Ste P100
Seattle, WA 98104
Phone (206) 466-1918

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1114560943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE P100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "206-466-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE P100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "206-466-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60996320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin@bespoketreatments.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1124 Columbia St Ste P100",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.