Active NPI
Mark J Pierce
Doing business as Bridle Trails Physical Therapy
- Physical Therapy Clinic/Center
- Kirkland, WA
National Provider Identifier
1407253867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 602471099
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Kirkland, WA
- NPI 1720038193
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.