Green Grass Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00010361 Issued in WA

Legal business name

GREEN GRASS PHYSICAL THERAPY, LLC

Practice address

2319 N 45TH St
Suite 202
Seattle, WA 98103-6982

Phone

(206) 910-9590

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Soundus Machtley, PT, DPT, OCS, MTC

Title

President

Phone

(206) 910-9590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1295039352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "206-910-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "206-910-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN GRASS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "MACHTLEY",
        "authorized_official_first_name": "SOUNDUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-910-9590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00010361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Greeley
• Karen L Greeley, PT, OCS, COMT,
• Madeline Greeley
• Ronald A Greeley, MA, LMHC
• Rula Green Gladden, MD
• Green Lake Chiropractic & Nutritional Healing LLC
• Green Lake Facial Surgery PLLC
• Green Lake Family and Cosmetic Dentistry
• Green Lake Massage Health Center, LLC
• Green Point Acupuncture L.L.C.

• 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 May 5, 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.