Active Foot and Ankle Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

145 Issued in WA

Legal business name

ACTIVE FOOT AND ANKLE CENTER

Practice address

1545 NE 65TH St
Seattle, WA 98115-6800

Phone

(425) 868-8287

NPI assigned

Nov 10, 2008

Last updated

Nov 12, 2008By 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

Dr. Howard Roth, D.P.M.

Title

Owner/Medical Director

Phone

(425) 868-8287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1487808960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22914 NE 126TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535632",
            "telephone_number": "425-868-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156800",
            "telephone_number": "425-868-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-868-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Acquah, BSN, RN
• Haley Marie Acra, MS, LMHC, MHP
• Jennifer Acselrod, RN
• Action Reaction Physical Therapy, Inc.
• Richard Michael Actis, M.D.
• Active Health Solutions PS (Elevate Chiropractic and Rehab)
• Active Physical Therapy LLC
• Active Seattle Chiropractic and Sports Therapy PLLC (Active Seattle Chiropractic and Sports Therapy)
• Active Seattle Physical Therapy, PLLC (Therapydia Seattle)
• Actual Wellness LLC

• Ambulatory Surgical Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.