NPIMap

Organization Active NPI

Peak Sports and Spine Physical Therapy Lake City PS

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1184779365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK SPORTS AND SPINE PHYSICAL THERAPY LAKE CITY PS
Practice address
3225 NE 125TH Steet
Seattle, WA 98125
Phone
(206) 417-1298
Fax
(206) 417-1299
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gil Schoos, PT
Title
Owner
Phone
(206) 417-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

3225 NE 125TH Steet
Seattle, WA 98125

Mailing address

3225 NE 125TH Steet
Seattle, WA 98125
Phone (206) 417-1298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000269 WA Part B Supplier - Clinic/Group Practice 2163524182 Receives reassigned benefits from 9 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

3225 NE 125th St
Seattle, WA 98125
Phone (206) 417-1298

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184779365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 NE 125TH STEET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-417-1298",
            "fax_number": "206-417-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 NE 125TH STEET",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-417-1298",
            "fax_number": "206-417-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK SPORTS AND SPINE PHYSICAL THERAPY LAKE CITY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOOS",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-417-1298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.