NPIMap

Organization Active NPI

Premier Physical Rehabilitation LLC

Doing business as PhysioCare Physical Therapy

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1437349198
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL REHABILITATION LLC
Doing business as
PhysioCare Physical Therapy
Practice address
17618 140TH Ave NE
Woodinville, WA 98072
Phone
(425) 402-9772
Fax
(425) 402-9443
NPI assigned
Jul 30, 2007
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Krista S. Hamar
Title
Office Manager
Phone
(425) 402-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

17618 140TH Ave NE
Woodinville, WA 98072

Mailing address

17618 140TH Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

Other names 1

  • PhysioCare Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

17191 Bothell Way NE
#203
Lake Forest Park, WA 98155
Phone (206) 367-6069

17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

17644 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1437349198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17618 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-402-9772",
            "fax_number": "425-402-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17618 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-402-9772",
            "fax_number": "425-402-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "HAMAR",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-402-9772"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioCare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.