Dzuka Lin, P.T.
Individual provider Active NPI Physical Therapist · Seattle, WA
NPI 1376697433 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376697433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00008805 (WA)
- Practice address
- 6300 9TH Ave NE
Suite 360
Seattle, WA 98115-8515 - Phone
- (206) 523-5826
- Fax
- (206) 428-2087
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Reaction Physical Therapy Inc
Practice addresses (Care Compare)
2611 NE 125TH St
Suite 90
Seattle, WA 98125-4357
Phone (206) 523-6826
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000616 | WA | Practitioner - Physical Therapist in Private Practice | 3274560503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008805 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Reaction Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
2611 NE 125th St
Ste 90
Seattle, WA 98125
Phone (206) 362-0035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00008805 | WA | Yes |
Addresses
Primary practice location
6300 9TH Ave NE
Suite 360
Seattle, WA 98115-8515
Mailing address
6300 9TH Ave NE
Suite 360
Seattle, WA 98115-8515
Phone (206) 523-5826
Other providers in Seattle, WA
- Christopher Quincy Lin
- Dandi Lin
- Daniel Wei Lin
- Dannica Lin
- David Lin
- Edward Hueiguo Lin
- Elizabeth H Lin
- Eugene C Lin
- Hannah May Lin
- Hueylie Lin
All providers in Seattle, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.