Organization Active NPI

Elite Performance Sports Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Bothell, WA
National Provider Identifier
1295649648
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ELITE PERFORMANCE SPORTS WELLNESS, PLLC
Practice address
21915 6TH Ave W
Bothell, WA 98021-8137
Phone
(909) 969-8716
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Dr. Jerimiah Joseph Seeds-Murphy, DPTNPI 1174188049
Title
Owner, PT
Phone
(909) 969-8716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

21915 6TH Ave W
Bothell, WA 98021-8137

Mailing address

21915 6TH Ave W
Bothell, WA 98021-8137
Phone (909) 969-8716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1295649648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21915 6TH AVE W",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218137",
            "telephone_number": "909-969-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21915 6TH AVE W",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218137",
            "telephone_number": "909-969-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE SPORTS WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SEEDS-MURPHY",
        "authorized_official_first_name": "JERIMIAH JOSEPH",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "909-969-8716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.