Southwest Seattle Physical Therapy & Sports Rehabilitation Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005375 Issued in WA

Legal business name

SOUTHWEST SEATTLE PHYSICAL THERAPY & SPORTS REHABILITATION INC.

Practice address

15410 Ambaum Blvd SW
Suite #103
Burien, WA 98166-2402

Phone

(206) 248-3414

Fax

(206) 244-6755

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Bryce Joseph McPhee, M.P.T.NPI 1255424032

Title

Owner/President

Phone

(206) 248-3414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Bryce Joseph McPhee, MPT

  • Orthopedic Physical Therapist
  • Burien, WA
  • NPI 1255424032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1467755397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 AMBAUM BLVD SW",
            "address_2": "SUITE #103",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662402",
            "telephone_number": "206-248-3414",
            "fax_number": "206-244-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15410 AMBAUM BLVD SW",
            "address_2": "SUITE #103",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662402",
            "telephone_number": "206-248-3414",
            "fax_number": "206-244-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SEATTLE PHYSICAL THERAPY & SPORTS REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "206-248-3414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7042575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Seattle Nephrology Associates
• South Sound Inpatient Physicians PLLC
• South Sound Inpatient Physicians, PLLC
• Southwest Infectious Diseases
• Southwest Seattle Orthopaedics and Sports Medicine
• Beverly Spiegelberg
• Jennifer Christine Spight, AACR
• Elissa Springer
• Mary Squires
• Jonathan Carl St Martin

• Physical Therapist in Burien, WA
• Providers in Burien, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.