Organization Active NPI

Puget Orthopedic Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Everett, WA
National Provider Identifier
1194707216
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PUGET ORTHOPEDIC REHABILITATION PC
Practice address
12811 8TH Ave W
A-205
Everett, WA 98204-6335
Phone
(425) 348-1259
Fax
(425) 348-3071
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Natalie Brenda Lew, PT
Title
Clinic Office Supervisor
Phone
(425) 348-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12811 8TH Ave W
A-205
Everett, WA 98204-6335

Mailing address

12811 8TH Ave W
A-205
Everett, WA 98204-6335
Phone (425) 348-1259

National Provider Directory

National Provider Directory

Locations

12811 8th Ave W
Ste A205
Everett, WA 98204
Phone (425) 348-1259

Practitioners & affiliated clinicians

Practitioners 2

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1194707216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 8TH AVE W",
            "address_2": "A-205",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046335",
            "telephone_number": "425-348-1259",
            "fax_number": "425-348-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 8TH AVE W",
            "address_2": "A-205",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046335",
            "telephone_number": "425-348-1259",
            "fax_number": "425-348-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET ORTHOPEDIC REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "CLINIC OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "425-348-1259",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Oct 22, 2007; 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.