NPIMap

Organization Active NPI

Bespoke Treatments Seattle PT PLLC

Doing business as Bespoke Physical Therapy

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1184140246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BESPOKE TREATMENTS SEATTLE PT PLLC
Doing business as
Bespoke Physical Therapy
Practice address
1124 Columbia St
Seattle, WA 98104-2026
Phone
(646) 596-7427
Fax
(646) 358-3443
NPI assigned
Aug 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Daniel Giordano, DPTNPI 1497160923
Title
Owner
Phone
(646) 596-7427

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 NU Primary

Addresses

Primary practice location

1124 Columbia St
Seattle, WA 98104-2026

Mailing address

1124 Columbia St
Seattle, WA 98104-2026
Phone (646) 596-7427

Other names 1

  • Bespoke Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110001808 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880950674 Receives reassigned benefits from 15 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1124 Columbia St
Seattle, WA 98104
Phone (206) 466-1918

1124 Columbia St
Ste P100
Seattle, WA 98104
Phone (206) 466-1918

5000 30th Ave NE
Unit 102
Seattle, WA 98105
Phone (206) 466-1918

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184140246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042026",
            "telephone_number": "646-596-7427",
            "fax_number": "646-358-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE TREATMENTS SEATTLE PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-596-7427",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.