Individual provider Active NPI

Lisa Eaton, DPT

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1407978919
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00008718 Issued in WA
Practice address
120 Lakeside Ave
Ste 210
Seattle, WA 98122-6534
Phone
(206) 405-1864
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00008718 WA Primary

Addresses

Primary practice location

120 Lakeside Ave
Ste 210
Seattle, WA 98122-6534

Mailing address

PO Box 1570
Monroe, WA 98272-4570
Phone (360) 799-6921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4218ORMDNaturopath
PT00008718WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Factoria Sports and Spine Physical Therapy P S PastSince Jan 14, 2002 Accepting new patients
Kinetic Physical Therapy LLC PastSince Sep 1, 2022 Accepting new patients
Cascade Dizziness and Balance Physical Therapy, LLC PastSince Jun 27, 2011 Accepting new patients
Movement Systems Physical Therapy, P.S. PastSince Jan 1, 1998 Accepting new patients
Cottage Grove Physical Therapy Services, Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1407978919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982724570",
            "telephone_number": "360-799-6921",
            "fax_number": "360-799-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE",
            "address_2": "STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226534",
            "telephone_number": "206-405-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00008718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 2017; 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.