Active NPI
Justin J Ho, PT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1144733106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60797124
- Practice address
- 12917 SE 38TH St Ste 208
Bellevue, WA 98006 - Phone
- (206) 320-5430
- Fax
- (206) 320-5431
- NPI assigned
- Nov 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60797124 | WA | Primary |
Addresses
Primary practice location
12917 SE 38TH St Ste 208
Bellevue, WA 98006
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144733106 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Washington | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1144733106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12917 SE 38TH ST STE 208",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "206-320-5430",
"fax_number": "206-320-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "JUSTIN",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-13",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60797124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144733106",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.