NPIMap

Organization Active NPI

Eunice Gong, PT, LLC

Doing business as InBalance PT and Bowenwork

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1255830071
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008072 Issued in WA
Legal business name
EUNICE GONG, PT, LLC
Doing business as
InBalance PT and Bowenwork
Practice address
9 Lake Bellevue Dr Ste 216
Bellevue, WA 98005
Phone
(425) 610-8194
Fax
(425) 610-6960
NPI assigned
Feb 7, 2018
Last updated
Jan 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Authorized official

Name
Eunice Gong, PTNPI 1588756613
Title
Member
Phone
(425) 610-8194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008072 WA Primary

Addresses

Primary practice location

9 Lake Bellevue Dr Ste 216
Bellevue, WA 98005

Mailing address

7930 SE 34TH St Apt 207
Mercer Island, WA 98040-3556
Phone (425) 610-8194

Other practice location 1

1260 116th Ave NE Ste 100
Bellevue, WA 98004-3800
Phone (425) 610-8194

Other practice location 2

2100 116th Ave NE
Bellevue, WA 98004-3016
Phone (425) 610-8194

Other names 1

  • InBalance PT and Bowenwork Doing business as

National Provider Directory

National Provider Directory

Locations

9 Lake Bellevue Dr
Ste 216
Bellevue, WA 98005
Phone (425) 610-8194

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1255830071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 SE 34TH ST APT 207",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403556",
            "telephone_number": "425-610-8194",
            "fax_number": "425-610-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 216",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-610-8194",
            "fax_number": "425-610-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 116th Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043800",
            "country_code": "US",
            "telephone_number": "425-610-8194",
            "fax_number": "425-610-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043016",
            "country_code": "US",
            "telephone_number": "425-610-8194",
            "fax_number": "425-610-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EUNICE GONG, PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-610-8194",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InBalance PT and Bowenwork",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.