NPIMap

Organization Active NPI

Agility Health

  • Health Maintenance Organization
  • Auburn, WA
National Provider Identifier
1487041679
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
A160308321 Issued in WA
Legal business name
AGILITY HEALTH
Practice address
700 15TH St SW
Auburn, WA 98001-6558
Phone
(425) 903-2064
NPI assigned
Apr 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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

Authorized official

Name
Andrew Wetzel
Title
VP of Operations
Phone
(510) 921-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X A160308321 WA Primary

Addresses

Primary practice location

700 15TH St SW
Auburn, WA 98001-6558

Mailing address

607 Dewey Ave NW
Suite 300
Grand Rapids, MI 49504-7335

National Provider Directory

National Provider Directory
Tax ID family
Alliance Physical Therapy Group LLC2 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.

Locations

700 15th St SW
Auburn, WA 98001
Phone (425) 903-2064

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1487041679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 15TH ST SW",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016558",
            "telephone_number": "425-903-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "510-921-8193"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "A160308321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.