NPIMap

Organization Active NPI

O'Leary, Walsh, and George Inc

  • Physical Therapist
  • Lynnwood, WA
National Provider Identifier
1487798997
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
O'LEARY, WALSH, AND GEORGE INC
Practice address
19101 36TH Ave W
Suite 107
Lynnwood, WA 98036-5759
Phone
(425) 771-9300
Fax
(425) 771-8266
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Cynthia George G. George, PT
Title
VP
Phone
(425) 771-9300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X WA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X WA

Addresses

Primary practice location

19101 36TH Ave W
Suite 107
Lynnwood, WA 98036-5759

Mailing address

19101 36TH Ave W
Suite 107
Lynnwood, WA 98036-5759
Phone (425) 771-9300

Other identifiers 3

IdentifierTypeStateIssuer
7075294MedicaidWA
601358265OtherWAWA STATE BUSINESS LICENSE
118088OtherWALABOR & INDUSTRIES

Other names 1

  • Alderwood Physical Therapy & Rehab Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000665 WA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8224299748 Practice locations: Lynnwood, WA

National Provider Directory

National Provider Directory

Locations

19101 36th Ave W
Ste 107
Lynnwood, WA 98036
Phone (425) 771-9300

Practitioners & affiliated clinicians

Practitioners 6

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1487798997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 36TH AVE W",
            "address_2": "SUITE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365759",
            "telephone_number": "425-771-9300",
            "fax_number": "425-771-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 36TH AVE W",
            "address_2": "SUITE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365759",
            "telephone_number": "425-771-9300",
            "fax_number": "425-771-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'LEARY, WALSH, AND GEORGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CYNTHIA GEORGE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "425-771-9300",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7075294",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE BUSINESS LICENSE",
            "identifier": "601358265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "118088",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Physical Therapy & Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.