NPIMap

Organization Active NPI

Conflux Rehab LLC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
National Provider Identifier
1336785542
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CONFLUX REHAB LLC
Practice address
16709 9TH Ave SE
Suite E
Mill Creek, WA 98012
Phone
(425) 967-5605
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Dr. James Shepherd, PTNPI 1386690717
Title
Physical Therapist
Phone
(425) 984-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

16709 9TH Ave SE
Suite E
Mill Creek, WA 98012

Mailing address

16709 9TH Ave SE
Suite E
Mill Creek, WA 98012
Phone (425) 967-5605

National Provider Directory

National Provider Directory

Locations

16709 9th Ave SE
Ste E
Mill Creek, WA 98012
Phone (425) 967-5605

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1336785542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16709 9TH AVE SE",
            "address_2": "SUITE E",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-967-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16709 9TH AVE SE",
            "address_2": "SUITE E",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-967-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUX REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-984-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.