Individual provider Active NPI

Lina M Sims, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1497185565
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60415275 Issued in WA
Practice address
4545 41St Ave SW
Seattle, WA 98116-4220
Phone
(206) 932-8363
Fax
(206) 932-4973
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60415275 WA Primary

Addresses

Primary practice location

4545 41St Ave SW
Seattle, WA 98116-4220

Mailing address

16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (503) 443-6156

Other identifiers 3

IdentifierTypeStateIssuer
P01783834OtherWARR MEDICARE
0349711OtherWAWA L&I
1497185565MedicaidWA

Other names 1

  • Lina M Perugini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140227000393 WA Practitioner - Physical Therapist in Private Practice 4183854789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Nov 12, 2013 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Nov 12, 2013 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Sea Pines Physical Therapy PLLC Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

11800 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 820-0869

4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1497185565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 41ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164220",
            "telephone_number": "206-932-8363",
            "fax_number": "206-932-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LINA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60415275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01783834",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0349711",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497185565",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "PERUGINI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.