Individual provider Active NPI

Suzanne Lamont, PTA, LMT, CYT

  • Physical Therapy Assistant
  • Tigard, OR
National Provider Identifier
1316158934
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P160504743 Issued in WA
Practice address
7320 SW Hunziker St Ste 203
Tigard, OR 97223-2301
Phone
(888) 317-1019
NPI assigned
May 25, 2007
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160504743 WA Primary

Addresses

Primary practice location

7320 SW Hunziker St Ste 203
Tigard, OR 97223-2301

Mailing address

61 Jackson LN
Port Ludlow, WA 98365-9668
Phone (062) 465-7767

Other practice location 1

18820 Front St
220
Poulsbo, WA 98370
Phone (360) 697-3767

Other identifiers 1

IdentifierTypeStateIssuer
P160504743OtherWAWDOH

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

LicenseStateTypeSpecialty
P160504743WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Supplemental Health Care Past Accepting new patients
Supplemental Healthcare Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1316158934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 JACKSON LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659668",
            "telephone_number": "062-465-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER ST STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232301",
            "telephone_number": "888-317-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18820 FRONT ST",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "country_code": "US",
            "telephone_number": "360-697-3767",
            "fax_number": "360-697-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMONT",
        "first_name": "SUZANNE",
        "credential": "PTA, LMT, CYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160504743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDOH",
            "identifier": "P160504743",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.