Issaquah Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ISSAQUAH PHYSICAL THERAPY, INC

Practice address

450 NW Gilman Blvd
Suite 106
Issaquah, WA 98027-2483

Phone

(425) 392-0627

Fax

(425) 391-8615

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey Ormiston, PT, OCS

Title

President/Owner

Phone

(425) 392-0627

Specialties & licenses 1

Addresses

Other names 1

• Issaquah Physical Therapy and Athlete's Rehabilitation Clinic Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Geoffrey Ormiston, PT, OCS

  • Orthopedic Physical Therapist
  • Issaquah, WA
  • NPI 1760675169
  Medicare reassignment
• Sara Joyce Agassiz, PT, OCS

  • Physical Therapist
  • Renton, WA
  • NPI 1285685057
  NPD (past)
• Gary William Hope, P.T.

  • Physical Therapist
  • Sammamish, WA
  • NPI 1487651279
  NPD (past)
• Joseph D Nance, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1124089537
  NPD (past)

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255584181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "SUITE 106",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-392-0627",
            "fax_number": "425-391-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "SUITE 106",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-392-0627",
            "fax_number": "425-391-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ORMISTON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "425-392-0627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Physical Therapy and Athlete's Rehabilitation Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Issaquah Medical Group
• Issaquah Medical Group PLLC
• Issaquah Natural Medicine, Inc
• Issaquah Obstetrics and Gynecology PLLC
• Issaquah Operations, LLC
• Issaquah Plastic Surgery PLLC
• Issaquah Primary Care Associates PS
• Issaquah School District
• Issaquah Surgery Center, LLC
• Issaquah Valley Dental Care

• Physical Therapy Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.