NPIMap

Organization Active NPI

Mti Physical Therapy Wac

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1417177247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MTI PHYSICAL THERAPY WAC
Practice address
1325 6TH Ave
Seattle, WA 98101-2304
Phone
(206) 839-4780
NPI assigned
Apr 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Stuart Eivers, PTNPI 1841327301
Title
Clinic Director PT
Phone
(206) 839-4780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

1325 6TH Ave
Seattle, WA 98101-2304

Mailing address

1325 6TH Ave
Seattle, WA 98101-2304
Phone (206) 839-4780

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417177247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 6TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012304",
            "telephone_number": "206-839-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 6TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012304",
            "telephone_number": "206-839-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTI PHYSICAL THERAPY WAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EIVERS",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CLINIC DIRECTOR PT",
        "authorized_official_telephone_number": "206-839-4780",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "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 Jul 21, 2022; 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.