Active NPI
Heather Jill Townsend, PTA
- Physical Therapy Assistant
- Shoreline, WA
National Provider Identifier
1497253041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 60205524
- Practice address
- 14900 1St Ave NE
Shoreline, WA 98155-6800 - Phone
- (206) 457-5060
- NPI assigned
- Jan 30, 2018
- Last updated
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 60205524 | WA | Primary |
Addresses
Primary practice location
14900 1St Ave NE
Shoreline, WA 98155-6800
Mailing address
14405 53Rd Ave SE
Everett, WA 98208-8968
Phone (425) 346-7784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60205524 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1497253041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14405 53RD AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982088968",
"telephone_number": "425-346-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 1ST AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981556800",
"telephone_number": "206-457-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "HEATHER",
"middle_name": "JILL",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "60205524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.