Icure Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ICURE PHYSICAL THERAPY LLC

Practice address

9623 32ND St SE Ste C101
Lake Stevens, WA 98258-5778

Phone

(551) 579-9120

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Priya Chauhan, PTNPI 1104312677

Title

Owner

Phone

(551) 579-9120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Priya Ronak Chauhan, PT

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1104312677

  WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1144030636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 32ND ST SE STE C101",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585778",
            "telephone_number": "551-579-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 32ND ST SE STE C101",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585778",
            "telephone_number": "551-579-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICURE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-579-9120",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Debora Hudson, MA, LMHC, CMHS
• Tracy Humphreys, RPH
• David Robert Hunter, DDS
• Carrie Lynn Hutchinson, LMP
• Carrie D Hyldahl, LMP, EOT
• J Baldwin Global Enterprises, LLC
• Ehren Jackson, LMP
• Edward Jacobs, MD
• Angela Jakab-Miller, MA60592340
• Sheila Jalali, M.A.

• Physical Therapist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.