Organization Active NPI

Jet City Enterprists Inc

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1356413280
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
602779150 Issued in WA
Legal business name
JET CITY ENTERPRISTS INC
Practice address
11304 8TH Ave NE
Suite a
Seattle, WA 98125-6111
Phone
(206) 363-6184
Fax
(206) 363-6543
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Authorized official

Name
Nancy J Rowland
Title
Office Manager
Phone
(206) 363-6184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 602779150 WA Primary
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X

Addresses

Primary practice location

11304 8TH Ave NE
Suite a
Seattle, WA 98125-6111

Mailing address

11304 8TH Ave NE
Suite a
Seattle, WA 98125-6111
Phone (206) 363-6184

Other identifiers 1

IdentifierTypeStateIssuer
238094OtherWAL&I

Other names 1

  • G2 Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

11304 8th Ave NE
#A
Seattle, WA 98125
Phone (206) 363-6184

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1356413280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256111",
            "telephone_number": "206-363-6184",
            "fax_number": "206-363-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11304 8TH AVE NE",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256111",
            "telephone_number": "206-363-6184",
            "fax_number": "206-363-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET CITY ENTERPRISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-363-6184"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "602779150",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "238094",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G2 Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.