Individual provider Active NPI

Bianca Rose Mary Saad, PT, DPT

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1245630029
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60622020 Issued in WA
Practice address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone
(206) 842-2428
Fax
(206) 842-2890
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60622020 WA Primary

Addresses

Primary practice location

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647

Mailing address

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone (206) 842-2428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41618CAMDMarriage & Family Therapist
PT60622020WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1245630029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "BIANCA",
        "middle_name": "ROSE MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60622020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.