Organization Active NPI

Physical Therapy Clinics, Inc., PS

Doing business as Woodinville Physical Therapy

  • Orthopedic Physical Therapist
  • Woodinville, WA
National Provider Identifier
1447209523
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00002686 Issued in WA
Legal business name
PHYSICAL THERAPY CLINICS, INC., PS
Doing business as
Woodinville Physical Therapy
Practice address
17000 140TH Avenue NE
303
Woodinville, WA 98072-6928
Phone
(425) 481-1744
Fax
(425) 483-1774
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Paige SeltzNPI 1588795827
Title
Owner
Phone
(425) 481-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00002686 WA Primary

Addresses

Primary practice location

17000 140TH Avenue NE
303
Woodinville, WA 98072-6928

Mailing address

17000 140TH Ave NE
303
Woodinville, WA 98072-6928
Phone (425) 481-1744

Other identifiers 1

IdentifierTypeStateIssuer
7055171MedicaidWA

Other names 1

  • Woodinville Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000588 WA Part B Supplier - Clinic/Group Practice 4587555818 Receives reassigned benefits from 6 practitioners
Practice locations: Woodinville, WA

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1447209523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "address_2": "303",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-481-1744",
            "fax_number": "425-483-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVENUE NE",
            "address_2": "303",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-481-1744",
            "fax_number": "425-483-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINICS, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "SELTZ",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-481-1744"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7055171",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodinville 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 Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.