Active NPI
Michele M Fremont, PT
- Physical Therapist
- Arlington, WA
National Provider Identifier
1295883676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005785
- Practice address
- 19007 61St Ave NE #5
Attn Hpi
Arlington, WA 98223-6300 - Phone
- (360) 435-8989
- Fax
- (360) 403-8347
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005785 | WA | Primary |
Addresses
Primary practice location
19007 61St Ave NE #5
Attn Hpi
Arlington, WA 98223-6300
Mailing address
19007 61St Ave NE #5
Attn Hpi
Arlington, WA 98223-6300
Phone (360) 435-8989
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44097 | Other | WA | DEPT LABOR & INDUSTRIES |
| 192605100 | Other | US DEPT OF LABOR OWCP | |
| 8341893 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005785 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance in Industry Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Arlington, WA
- NPI 1184773681
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1295883676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19007 61ST AVE NE #5",
"address_2": "ATTN HPI",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982236300",
"telephone_number": "360-435-8989",
"fax_number": "360-403-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19007 61ST AVE NE #5",
"address_2": "ATTN HPI",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982236300",
"telephone_number": "360-435-8989",
"fax_number": "360-403-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREMONT",
"first_name": "MICHELE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT LABOR & INDUSTRIES",
"identifier": "44097",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR OWCP",
"identifier": "192605100",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341893",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.