Organization Active NPI

Skyline Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Bellingham, WA
National Provider Identifier
1265676084
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602902030 Issued in WA
Legal business name
SKYLINE PHYSICAL THERAPY, PLLC
Practice address
1408 N Garden St
Bellingham, WA 98225-4507
Phone
(360) 738-4300
Fax
(360) 738-8010
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Dr. Jane I Richardson, PT, SCD, OCS, COMTNPI 1891874475
Title
Owner/Physical Therapist
Phone
(360) 738-4300

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 Therapy Clinic/Center 261QP2000X 602902030 WA Primary

Addresses

Primary practice location

1408 N Garden St
Bellingham, WA 98225-4507

Mailing address

1408 N Garden St
Bellingham, WA 98225-4507
Phone (360) 738-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janeoutside@protonmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090909000340 WA Part B Supplier - Clinic/Group Practice 3072668474 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1408 N Garden St
Bellingham, WA 98225
Phone (360) 738-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1265676084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N GARDEN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254507",
            "telephone_number": "360-738-4300",
            "fax_number": "360-738-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N GARDEN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254507",
            "telephone_number": "360-738-4300",
            "fax_number": "360-738-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-738-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, SCD, OCS, COMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602902030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janeoutside@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email with protonmail",
            "address_1": "1408 N Garden St",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982254507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.