Bridget Lavaveshkul, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60349535 Issued in WA

Practice address

7454 Newcastle Golf Club Rd
Newcastle, WA 98059-9176

Phone

(425) 543-1508

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2015.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1275929317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GALER ST",
            "address_2": "APT. 125",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093380",
            "telephone_number": "785-760-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7454 NEWCASTLE GOLF CLUB RD",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980599176",
            "telephone_number": "425-543-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAVESHKUL",
        "first_name": "BRIDGET",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60349535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Nga Kwok Kwan, ARNP
• Evelyn Faith Lafferty, MA60752919
• Linda Lander
• Tess Caroline Lang, MD
• Erik Hans Larson, LICSW, LPI
• Meaghan Alys Lawler, LMP
• Weisi Amanda Li
• David Mark Lin, MD
• Jessie Lin, PT
• Emily Hoberg Liskey, PT

• All providers in Newcastle, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.