NPIMap

Organization Active NPI

Mobilize Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1154764256
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MOBILIZE PHYSICAL THERAPY LLC
Practice address
3515 NE 45TH St
Seattle, WA 98105-5640
Phone
(206) 402-5483
Fax
(206) 299-0962
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Kelcy Lee, DPT
Title
Owner
Phone
(206) 402-5483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

3515 NE 45TH St
Seattle, WA 98105-5640

Mailing address

3515 NE 45TH St
Seattle, WA 98105-5640
Phone (206) 402-5483

Other names 1

  • Mobilize Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@mobilizept.com Direct

National Provider Directory

National Provider Directory

Locations

3513 NE 45th St
Ste 2W
Seattle, WA 98105
Phone (206) 535-7527

3515 NE 45th St
Seattle, WA 98105
Phone (206) 402-5483

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1154764256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055640",
            "telephone_number": "206-402-5483",
            "fax_number": "206-299-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055640",
            "telephone_number": "206-402-5483",
            "fax_number": "206-299-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILIZE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KELCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-402-5483",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@mobilizept.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3515 NE 45th St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981055640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mobilize Physical 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 Oct 12, 2023; 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.