Revitalize Movement Physical Therapy Studio LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REVITALIZE MOVEMENT PHYSICAL THERAPY STUDIO LLC

Practice address

35314 SE Center St
Snoqualmie, WA 98065-9216

Phone

(206) 930-7476

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Apple, DPTNPI 1518197433

Title

Owner/Physical Therapist

Phone

(206) 930-7476

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy and Balance Center Snoqualmie Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth L Apple

  • Physical Medicine & Rehabilitation Physician
  • Snoqualmie, WA
  • NPI 1518197433
  NPD (past) Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1124591607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35314 SE CENTER ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659216",
            "telephone_number": "206-930-7476",
            "fax_number": "425-642-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35314 SE CENTER ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659216",
            "telephone_number": "206-930-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE MOVEMENT PHYSICAL THERAPY STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-930-7476",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Center Snoqualmie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL Therapy and Balance Center Snoqualmie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Rappaport, MD
• Redwood Counseling, PLLC
• Kaylin Anne Reeve, ARNP
• Resilient Health
• Lyndee Elsie Retzlaff
• Adrienne Richards, RN
• Rachel L Richter, M.A., L.M.H.C.
• Ridge Pharmacy
• RMP Logic LLC
• Danica J Roberts, LMT

• Physical Medicine & Rehabilitation Physician in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

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