NPIMap

Organization Active NPI

Pushing Boundaries

  • Rehabilitation Clinic/Center
  • Redmond, WA
National Provider Identifier
1275871618
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PUSHING BOUNDARIES
Practice address
4162 148TH Ave NE
Redmond, WA 98052-5164
Phone
(425) 869-9506
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Ms. Tricia Lazzar
Title
Executive Director
Phone
(425) 869-9506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4162 148TH Ave NE
Redmond, WA 98052-5164

Mailing address

4162 148TH Ave NE
Redmond, WA 98052-5164
Phone (425) 869-9506

National Provider Directory

National Provider Directory

Locations

4162 148th Ave NE
Redmond, WA 98052
Phone (425) 869-9506

Practitioners & affiliated clinicians

Practitioners 7

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": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1275871618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 148TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525164",
            "telephone_number": "425-869-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4162 148TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525164",
            "telephone_number": "425-869-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSHING BOUNDARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "LAZZAR",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-869-9506",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.