Proliance Surgeons Inc., P.S.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROLIANCE SURGEONS INC., P.S.

Doing business as

Proliance Physical & Hand Therapy

Practice address

190 W Dayton St Ste 202
Edmonds, WA 98020-7221

Phone

(425) 582-8118

Fax

(425) 582-7420

NPI assigned

Feb 20, 2020

Last updated

Aug 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cori M. Pleasant

Title

MGR. Provider Relations/Enrollment

Phone

(206) 838-2585

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Proliance Physical & Hand Therapy Doing business as

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1467085126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 216TH ST SW STE 320",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268006",
            "telephone_number": "425-673-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W DAYTON ST STE 202",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207221",
            "telephone_number": "425-582-8118",
            "fax_number": "425-582-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "CORI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MGR. PROVIDER RELATIONS/ENROLLMENT",
        "authorized_official_telephone_number": "206-838-2585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0532700048",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proliance Physical & Hand Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Preston, LMHC
• Mariya Preston, L.M.P.
• Proliance Surgeons Inc P S (Proliance Edmonds Center for Outpatient Surgery)
• Proliance Surgeons Inc., P.S. (Proliance Surgical Specialists of Edmonds)
• Proliance Surgeons Inc., P.S. (Proliance Northwest Pain Management Associates)
• Proliance Surgeons, Inc., P.S (Proliance Surgeons Ankle and Foot of Edmonds)
• Proliance Surgeons, Inc., P.S. (Proliance Surgeons Puget Sound ENT)
• Martin Proudfoot, M.D.
• Psychiatry Evergreen PLLC
• Public Hosp Dist 2 of Snoh County (Stevens Healthcare)

• Durable Medical Equipment & Medical Supplies in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.