Waterfront Sports and Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

WATERFRONT SPORTS AND PHYSICAL THERAPY

Practice address

20109 Aurora Ave N Ste 105
Shoreline, WA 98133-3127

Phone

(206) 801-7546

Fax

(206) 801-7547

NPI assigned

Mar 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William C Reynolds

Title

President

Phone

(206) 801-7546

Specialties & licenses 1

Addresses

Other names 1

• Motus Physical Therapy Doing business as

Locations

Practitioners 7

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

• Tracie H Baylor, P.T.

  • Orthopedic Physical Therapist
  • Edmonds, WA
  • NPI 1073637856
  NPD (past)
• Boyd J Bender, P.T.

  • Orthopedic Physical Therapist
  • Edmonds, WA
  • NPI 1467576157
  NPD (past)
• Rebecca A Forkan, P.T.

  • Sports Physical Therapist
  • Shoreline, WA
  • NPI 1629192497

  Orthopedic

  NPD (past)
• Peggy A Halwachs, P.T.

  • Physical Therapist
  • Edmonds, WA
  • NPI 1295859049

  Orthopedic

  NPD (past)
• Amy M Lentz, MPT

  • Physical Therapist
  • Edmonds, WA
  • NPI 1164546842

  Orthopedic

  NPD (past)
• Jamie Maloy, DPT

  • Physical Therapist
  • Shoreline, WA
  • NPI 1134778582
  NPD (past)
• Jeffery D Stuart, P.T.

  • Physical Therapist
  • Edmonds, WA
  • NPI 1124138839
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1164546016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20109 AURORA AVE N STE 105",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333127",
            "telephone_number": "206-801-7546",
            "fax_number": "206-801-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20109 AURORA AVE N STE 105",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333127",
            "telephone_number": "206-801-7546",
            "fax_number": "206-801-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT SPORTS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-801-7546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motus Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Michelle Ward, PT, DPT
• Skilier Cullers Warren, LMP
• Washington State Department of Health
• Washington State Department of Health
• Washington State Department of Social and Health Services
• Sara Louise Waters, LICSW, CMHS
• Patricia Ann Weber, M.D.
• Grace Weigel, M.A
• Belaynesh Weldearegay, LMHC
• Haley Wens

• Orthopedic Physical Therapist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.