Individual provider Active NPI

Gretchen Sanger Lubin, PT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1285734111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT0002798 Issued in WA
Practice address
8028 35TH Ave NE
Seattle, WA 98115-4814
Phone
(206) 524-0124
Fax
(206) 524-0125
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT0002798 WA Primary

Addresses

Primary practice location

8028 35TH Ave NE
Seattle, WA 98115-4814

Mailing address

8028 35TH Ave NE
Seattle, WA 98115-4814
Phone (206) 524-0124

Other identifiers 2

IdentifierTypeStateIssuer
8431884MedicaidWA
0012457OtherWAL AND T

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000886 WA Practitioner - Physical Therapist in Private Practice 6103726005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialties of Seattle P SGroup PAC ID 8123928025, 5 clinicians

Practice addresses (Care Compare)

8028 35TH Ave NE
Seattle, WA 98115-4815
Phone (206) 524-0124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0002798WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialties of Seattle P S CurrentSince Oct 1, 2003 Accepting new patients

Locations

8028 35th Ave NE
Seattle, WA 98115
Phone (206) 524-0124

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285734111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154814",
            "telephone_number": "206-524-0124",
            "fax_number": "206-524-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154814",
            "telephone_number": "206-524-0124",
            "fax_number": "206-524-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "GRETCHEN",
        "middle_name": "SANGER",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT0002798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8431884",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND T",
            "identifier": "0012457",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.