Micah Bartlett, PTA
Individual provider Active NPI Physical Therapy Assistant · Bellingham, WA
NPI 1134769250 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1134769250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P160597967 (WA)
- Practice address
- 3801 Silver Beach Ave
Bellingham, WA 98226-4326 - Phone
- (360) 543-3413
- NPI assigned
- Jan 7, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160597967 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P160597967 | WA | Yes |
Addresses
Primary practice location
3801 Silver Beach Ave
Bellingham, WA 98226-4326
Mailing address
3801 Silver Beach Ave
Bellingham, WA 98226-4326
Phone (360) 543-3413
Other providers in Bellingham, WA
- Melissa Ann Bartel
- Casey L Barten
- Nicholas C Barth
- Alex G. Bartl
- Kerry T Bartlett
- Eren Bartsch
- Rebecca Bartsch
- Kiley John Garritt Barz
- Nasheba Barzey
- Madison Bash
All providers in Bellingham, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.