Stretch LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

602622922 Issued in WA

Legal business name

STRETCH LLC

Practice address

201 Yale Ave N
Seattle, WA 98109-5430

Phone

(206) 624-7602

Fax

(206) 624-7606

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Wolfgang E Brolley, RPT,LMP,RC

Title

Owner/Founder

Phone

(206) 624-7602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1275766172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095430",
            "telephone_number": "206-624-7602",
            "fax_number": "206-624-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095430",
            "telephone_number": "206-624-7602",
            "fax_number": "206-624-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BROLLEY",
        "authorized_official_first_name": "WOLFGANG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "206-624-7602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT,LMP,RC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602622922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF LABOUR AND INDUSTRIES",
            "identifier": "0235644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Streidl, MD
• Kerry Streiff
• John Oliver Streimikes, LICSW
• Aaron Jon Streitenberger
• Rachel Streitenberger
• Mary Eileen Stretch, ND
• Renee Jean Stretchberry, CPNP
• Megan Marie Streur, RN, FNP-C
• Elizabeth P. Strewler, MSW, LICSW, LCSW
• Anna Strick

• Physical Therapy Clinic/Center in Seattle, WA
• Providers in Seattle, 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 Aug 26, 2009; 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.