Organization Active NPI

Lets Go Physical Thearpy & Pilates PLLC

  • Physical Therapy Clinic/Center
  • Bellevue, WA
National Provider Identifier
1184201170
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LETS GO PHYSICAL THEARPY & PILATES PLLC
Practice address
1306 159TH Ave SE
Bellevue, WA 98008-5025
Phone
(425) 577-7258
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Marilyn Shannon, PTNPI 1295003937
Title
Owner
Phone
(425) 577-7258

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1306 159TH Ave SE
Bellevue, WA 98008-5025

Mailing address

1306 159TH Ave SE
Bellevue, WA 98008-5025
Phone (425) 577-7258

Other names 1

  • Let's Go Physical Therapy & Pilates PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1184201170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 159TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085025",
            "telephone_number": "425-577-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 159TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085025",
            "telephone_number": "425-577-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS GO PHYSICAL THEARPY & PILATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-577-7258",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Let's Go Physical Therapy & Pilates PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.