Active NPI
Bridle Trails Physical Therapy and Athletic Training LLC
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60169095
- Legal business name
- BRIDLE TRAILS PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
- Practice address
- 13120 NE 70TH PL Ste 203
Kirkland, WA 98033-8570 - Phone
- (425) 889-0776
- Fax
- (425) 889-0857
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cole Monson
- Title
- Owner
- Phone
- (701) 307-0032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60169095 | WA | Primary |
Addresses
Primary practice location
13120 NE 70TH PL Ste 203
Kirkland, WA 98033-8570
Mailing address
6513 132ND Ave NE # 375
Kirkland, WA 98033-8628
Phone (425) 889-0776
National Provider Directory
National Provider DirectoryLocations
13120 NE 70th Pl
Ste 203
Kirkland, WA 98033
Phone (425) 889-0776
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Redmond, WA
- NPI 1174834543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492387200000",
"number": "1215461199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6513 132ND AVE NE # 375",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338628",
"telephone_number": "425-889-0776",
"fax_number": "425-889-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13120 NE 70TH PL STE 203",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338570",
"telephone_number": "425-889-0776",
"fax_number": "425-889-0857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDLE TRAILS PHYSICAL THERAPY AND ATHLETIC TRAINING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A",
"authorized_official_last_name": "MONSON",
"authorized_official_first_name": "COLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-307-0032"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "60169095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.