Lauren Backholm

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

728 134TH St SW Ste 203
Everett, WA 98204-5322

Phone

(425) 745-4345

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1447069729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 21ST DR W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 134TH ST SW STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045322",
            "telephone_number": "425-745-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHOLM",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Lavonne Babcock, AAC-R
• Sean Tyler Babcock
• Susan Kahle Babcock, R.N.
• Chloe Loraine Bacik, RN, CDCES
• Back to Health Physical Therapy, Inc
• Michael Bacon, DDS
• Ashley Taylor Bacy, BS
• Shadi G Badrieh, MD
• Susan A. Baerg, ARNP
• Cheyenne Shanee Baeseman

• Physical Therapy Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.