NPIMap

Organization Active NPI

Whatcom Physical Therapy Inc PS

  • Physical Therapist
  • Blaine, WA
National Provider Identifier
1184683948
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WHATCOM PHYSICAL THERAPY INC PS
Practice address
250 G St
Blaine, WA 98230-4019
Phone
(360) 332-8167
Fax
(360) 332-0931
NPI assigned
Mar 21, 2006
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Richard Leaver, PTNPI 1801994355
Title
Owner/Ceo
Phone
(616) 356-5000

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 Primary

Addresses

Primary practice location

250 G St
Blaine, WA 98230-4019

Mailing address

250 G St
Blaine, WA 98230-4019
Phone (360) 332-8167

Other practice location 1

5709 Hamlin Ave
Ferndale, WA 98248-9210
Phone (360) 384-5171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150928001541 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688644420 Receives reassigned benefits from 6 practitioners
Practice locations: Ferndale, WA; Blaine, WA

National Provider Directory

National Provider Directory
Tax ID family
Ferndale Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 G St
Blaine, WA 98230
Phone (360) 332-8167

2030 Benson Rd
Point Roberts, WA 98281
Phone (360) 945-2580

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1184683948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 G ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304019",
            "telephone_number": "360-332-8167",
            "fax_number": "360-332-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 G ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304019",
            "telephone_number": "360-332-8167",
            "fax_number": "360-332-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5709 Hamlin Ave",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982489210",
            "country_code": "US",
            "telephone_number": "360-384-5171",
            "fax_number": "360-384-0350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHATCOM PHYSICAL THERAPY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "616-356-5000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.