Active NPI
William J Carriveau
Doing business as Northgate Physical and Sports Therapy
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WILLIAM J CARRIVEAU
- Doing business as
- Northgate Physical and Sports Therapy
- Practice address
- 10564 5TH Ave NE
Suite 302
Seattle, WA 98125-7200 - Phone
- (206) 367-6477
- Fax
- (206) 367-7748
- NPI assigned
- Oct 22, 2006
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Joseph Carriveau, PT
- Title
- Physical Therapist/Owner
- Phone
- (206) 367-6744
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | WA | Primary |
Addresses
Primary practice location
10564 5TH Ave NE
Suite 302
Seattle, WA 98125-7200
Mailing address
10564 5TH Ave NE
Suite 302
Seattle, WA 98125-7200
Phone (206) 367-6477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068095 | Other | WA | LABOR & INDUSTRIES |
| 7038490 | Medicaid | WA |
Other names 1
- Northgate Physical and Sports Therapy
National Provider Directory
National Provider DirectoryLocations
Ste 302
Seattle, WA 98125
Phone (206) 367-6477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Seattle, WA
- NPI 1780760884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1154404531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10564 5TH AVE NE",
"address_2": "SUITE 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257200",
"telephone_number": "206-367-6477",
"fax_number": "206-367-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10564 5TH AVE NE",
"address_2": "SUITE 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981257200",
"telephone_number": "206-367-6477",
"fax_number": "206-367-7748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J CARRIVEAU",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-22",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "CARRIVEAU",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "206-367-6744",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0068095",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7038490",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northgate Physical and Sports Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.