X-Cel Enterprises, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

X-CEL ENTERPRISES, INC.

Practice address

17191 Bothell Way NE
Suite B203
Lake Forest Park, WA 98155

Phone

(206) 367-6069

Fax

(206) 367-6319

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Robyn N Whitehead, PTA

Title

Executive Director

Phone

(206) 979-8248

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PhysioCare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loren L Johnson, PT

  • Physical Therapist
  • Arlington, WA
  • NPI 1518068774
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1295823110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231660",
            "telephone_number": "360-474-8686",
            "fax_number": "360-474-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 BOTHELL WAY NE",
            "address_2": "SUITE B203",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "98155",
            "telephone_number": "206-367-6069",
            "fax_number": "206-367-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-CEL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-979-8248",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114713",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0167362",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ken R Welling, CSACFA
• Annie Dang-Ye Wong, OTR/L
• Mary Wood, RN
• Robert C Woodbury, DO
• Morgan Lane Woodward, LMHCA
• Mollie Elizabeth Yates, OTR/L

• Physical Therapy Clinic/Center in Lake Forest Park, WA
• Providers in Lake Forest Park, 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 Aug 11, 2009; 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.