Physical Therapy Clinics, Inc., PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY CLINICS, INC., PS

Doing business as

Woodinville Physical Therapy

Practice address

17143 133Rd Ave NE
Woodinville, WA 98072-3522

Phone

(425) 481-1744

Fax

(425) 483-1774

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By 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

Dave M Baus, PT

Title

Owner

Phone

(425) 481-1744

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodinville Physical Therapy Doing business as

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.

• Physical Therapy Clinics, Inc., PS

  dba Woodinville Physical Therapy

  • Orthopedic Physical Therapist
  • Woodinville, WA
  • NPI 1447209523
  NPD tax ID

Practitioners 1

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.

• Paige Seltz, PT

  • Physical Therapist
  • Redmond, WA
  • NPI 1588795827
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477678654",
    "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": "17143 133RD AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723522",
            "telephone_number": "425-481-1744",
            "fax_number": "425-483-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINICS, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-481-1744",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "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"
        }
    ]
}

• Jewel Marie Peot, PHD, LCSW
• Zora L Pesio, ARNP, RNC, MSN
• Christa Elizabeth Peterson, PSY.D.
• Lise Mary Peterson, LMP
• Physical Therapy Clinics, Inc., PS (Woodinville Physical Therapy)
• Jessica Pinkerton, LMP
• Pinnacle Sleep Care Northwest LLC
• Andrea Pintacura, SLP
• Jeffrey Plough
• Stephanie Pesey Poch, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.