Analee Edlefsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60427782 Issued in WA

Practice address

21009 76TH Ave W
Axis Physical Therapy Inc
Edmonds, WA 98026-7126

Phone

(425) 672-2910

Fax

(425) 778-1872

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Martha Lake Physical Therapy Inc

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1104265412
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1225268493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "address_2": "AXIS PHYSICAL THERAPY INC",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "address_2": "AXIS PHYSICAL THERAPY INC",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLEFSEN",
        "first_name": "ANALEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6032",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60427782",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Eban-Buonto, MS, CCC-SLP
• Shelby E Echelbarger, MPT
• Debra Ann Eckerlin, RN
• Ed Cardiff D.D.S., P.S.
• Laura Nicole Edelstein, LMHC, SUDP
• Edmonds Anesthesia Associates Inc PS
• Edmonds Bay Dental
• Edmonds Emergency Physicians, Inc.
• Edmonds Eye M.D., PLLC
• Edmonds Eyecare Associates Inc PS

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.