Organization Active NPI

William J Carriveau

Doing business as Northgate Physical and Sports Therapy

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1154404531
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
William Joseph Carriveau, PTNPI 1780760884
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0068095OtherWALABOR & INDUSTRIES
7038490MedicaidWA

Other names 1

  • Northgate Physical and Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.