NPIMap

Organization Active NPI

Life in Balance Physical Therapy and Pilates, LLC

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1134566359
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60150805 Issued in WA
Legal business name
LIFE IN BALANCE PHYSICAL THERAPY AND PILATES, LLC
Practice address
5410 California Ave SW
#101
Seattle, WA 98136-1562
Phone
(206) 913-8082
Fax
(206) 935-0357
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Tricia Yost, DPTNPI 1215107164
Title
DPT/Owner
Phone
(206) 913-8082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT60150805 WA Primary

Addresses

Primary practice location

5410 California Ave SW
#101
Seattle, WA 98136-1562

Mailing address

5410 California Ave SW
#101
Seattle, WA 98136-1562
Phone (206) 913-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000648 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961645825 Receives reassigned benefits from 5 practitioners
Practice locations: Normandy Park, WA

National Provider Directory

National Provider Directory
Tax ID family
Life in Balance Physical Therapy and Pilates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 SW 152nd St
Ste 200
Burien, WA 98166
Phone (206) 913-8082

5410 California Ave SW
Ste 101
Seattle, WA 98136
Phone (206) 913-8082

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1134566359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-913-8082",
            "fax_number": "206-935-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 CALIFORNIA AVE SW",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361562",
            "telephone_number": "206-913-8082",
            "fax_number": "206-935-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN BALANCE PHYSICAL THERAPY AND PILATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "206-913-8082",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60150805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.