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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (2 clinicians)

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 IDStateProvider typePAC IDDetails
I20050719000616 WA Practitioner - Physical Therapist in Private Practice 3274560503 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT00008805WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Reaction Physical Therapy, Inc. Physical Therapist Current
since Aug 1, 2005
Accepting new patients

Locations

2611 NE 125th St
Ste 90
Seattle, WA 98125
Phone (206) 362-0035

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Seattle, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.