Individual provider Active NPI

Taleesha Thomas

  • Physical Therapy Assistant
  • Everett, WA
National Provider Identifier
1184231375
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P161065308 Issued in WA
Practice address
13410 Highway 99 Ste 204
Everett, WA 98204-5454
Phone
(360) 349-8052
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P161065308 WA Primary

Addresses

Primary practice location

13410 Highway 99 Ste 204
Everett, WA 98204-5454

Mailing address

13410 Highway 99 Ste 204
Everett, WA 98204-5454
Phone (360) 349-8052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P161065308WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy & Industrial Rehabilitation PLLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

13410 Highway 99
Ste 204
Everett, WA 98204
Phone (425) 742-7300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1184231375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 HIGHWAY 99 STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045454",
            "telephone_number": "360-349-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 HIGHWAY 99 STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045454",
            "telephone_number": "360-349-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TALEESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P161065308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.