Victor Emmanuel Obillo III

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60251293 Issued in WA

Practice address

2235 Lake Heights Dr
Everett, WA 98208-6030

Phone

(425) 338-3912

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victor Emmanuel Galletes Obillo III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1316388432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 OSPREY LN",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755465",
            "telephone_number": "425-939-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 LAKE HEIGHTS DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086030",
            "telephone_number": "425-338-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBILLO",
        "first_name": "VICTOR",
        "middle_name": "EMMANUEL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60251293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR EMMANUEL",
            "last_name": "OBILLO",
            "middle_name": "GALLETES",
            "suffix": "III",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Meaghan Oakes
• J Drake Oakley, LICSWA
• Tiazia Oates
• Charles Tufa Obieze, CDPT
• Kristin Marianne Obillo, M.D.
• Leah Rose Obryant, MSW, LICSW
• Eugene E. Ocampo, M.D.
• Occupational Health Centers of Washington, P.S. (Concentra Medical Center)
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)
• Occupational Health Centers of Washington, P.S. (Concentra Medical Centers)

• Physical Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.