Organization Active NPI

Bellevue Redmond Physical Therapy Center, Inc

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1467679779
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2804 Issued in WA
Legal business name
BELLEVUE REDMOND PHYSICAL THERAPY CENTER, INC
Practice address
2227 152ND Ave NE
Redmond, WA 98052-5519
Phone
(425) 643-2928
Fax
(425) 865-0224
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Meg Scott
Title
Business Manager
Phone
(425) 643-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT2804 WA Primary

Addresses

Primary practice location

2227 152ND Ave NE
Redmond, WA 98052-5519

Mailing address

2227 152ND Ave NE
Redmond, WA 98052-5519
Phone (425) 643-2928

Other identifiers 1

IdentifierTypeStateIssuer
7082753MedicaidWA

Other names 1

  • I Steven Campbell, DPT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001326 WA Part B Supplier - Clinic/Group Practice 0840282232 Receives reassigned benefits from 3 practitioners
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

2227 152nd Ave NE
Redmond, WA 98052
Phone (425) 450-0100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1467679779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525519",
            "telephone_number": "425-643-2928",
            "fax_number": "425-865-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525519",
            "telephone_number": "425-643-2928",
            "fax_number": "425-865-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE REDMOND PHYSICAL THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MEG",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "425-643-2928"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT2804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082753",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Steven Campbell, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.