Active NPI
Elizabeth A Schick, PT
- Physical Therapist
- Olympia, WA
National Provider Identifier
1295890168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010314
- Practice address
- 360 Lilly Rd NE
Suite a
Olympia, WA 98506-5430 - Phone
- (360) 486-0640
- Fax
- (360) 486-0641
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00010314 | WA | Primary |
Addresses
Primary practice location
360 Lilly Rd NE
Suite a
Olympia, WA 98506-5430
Mailing address
4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 357-9380
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4488SC | Other | WA | REGENCE BLUE SHIELD |
| 710883456-98501-A008 | Other | WA | TRICARE |
| 7117907 | Other | WA | AETNA |
| 710883456-98503-A007 | Other | WA | TRICARE |
| 8471112 | Medicaid | WA | |
| 710883456-98502-A004 | Other | WA | TRICARE |
| 710883456-98512-A005 | Other | WA | TRICARE |
| 4848SC | Other | WA | REGENCE BLUE SHIELD |
| 8483SC | Other | WA | REGENCE BLUE SHIELD |
| 8943300 | Other | WA | L&I CRIME VICTIMS |
| 0216247 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 3348SC | Other | WA | REGENCE BLUE SHIELD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Physical Therapy Services, PS | Physical Therapist | Past | Accepting new patients |
| Fran Kersch Physical Therapy | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25026/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Physical Therapist
- Olympia, WA
- NPI 1912181520
-
- Physical Therapist
- Aberdeen, WA
- NPI 1972512358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1295890168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE",
"address_2": "SUITE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 LILLY RD NE",
"address_2": "SUITE A",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065430",
"telephone_number": "360-486-0640",
"fax_number": "360-486-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHICK",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4488SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98501-A008",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7117907",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98503-A007",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8471112",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98502-A004",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98512-A005",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4848SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "8483SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8943300",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0216247",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "3348SC",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.