Sedro Woolley Physical Therapy, Inc., PS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT0008276 Issued in WA

Legal business name

SEDRO WOOLLEY PHYSICAL THERAPY, INC., PS

Practice address

638 Sunset Park Dr
Suite 101
Sedro Woolley, WA 98284-1546

Phone

(360) 856-4200

Fax

(360) 856-4220

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Leanne Dawes, PTNPI 1508935172

Title

Office Manager

Phone

(360) 856-4200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Leanne Dawes, M.P.T.

  • Physical Therapist
  • Sedro Woolley, WA
  • NPI 1508935172
  Medicare reassignment Care Compare group NPD Authorized official
• Todd William Dawes, M.P.T.

  • Physical Therapist
  • Sedro Woolley, WA
  • NPI 1245300136
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1316124977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SUNSET PARK DR",
            "address_2": "SUITE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841546",
            "telephone_number": "360-856-4200",
            "fax_number": "360-856-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 SUNSET PARK DR",
            "address_2": "SUITE 101",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841546",
            "telephone_number": "360-856-4200",
            "fax_number": "360-856-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDRO WOOLLEY PHYSICAL THERAPY, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DAWES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-856-4200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT0008276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8436180",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0227042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Scott
• Jonique Scott, RN
• Sedro Woolley Emergency Physicians
• Sedro Woolley Family Dental Center, P.S.
• Sedro Woolley Family Medicine PLLC
• Sedro Woolley School District
• Sedro Woolley Vision Center Inc
• Sedro-Woolley Family Dental Center (Glyn A. Fleury DDS)
• Lauren Margaret Serl-Andrade
• Gigi Servis, PHD, LMHC, SUDP, MAC

• Physical Therapy Clinic/Center in Sedro Woolley, WA
• Providers in Sedro Woolley, 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 Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.