Organization Active NPI

Mark J Pierce

Doing business as Bridle Trails Physical Therapy

  • Physical Therapy Clinic/Center
  • Kirkland, WA
National Provider Identifier
1407253867
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602471099 Issued in WA
Legal business name
MARK J PIERCE
Doing business as
Bridle Trails Physical Therapy
Practice address
13120 NE 70TH PL
Kirkland, WA 98033-8570
Phone
(425) 889-0776
Fax
(425) 889-0857
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Mark James Pierce, LPTA
Title
Owner
Phone
(425) 889-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 602471099 WA Primary

Addresses

Primary practice location

13120 NE 70TH PL
Kirkland, WA 98033-8570

Mailing address

13120 NE 70TH PL
Kirkland, WA 98033-8570
Phone (425) 889-0776

Other names 1

  • Bridle Trails Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

13120 NE 70th Pl
Kirkland, WA 98033
Phone (425) 889-0776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1407253867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338570",
            "telephone_number": "425-889-0776",
            "fax_number": "425-889-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338570",
            "telephone_number": "425-889-0776",
            "fax_number": "425-889-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J PIERCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-889-0776",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602471099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridle Trails Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.