Edmonds Physical Therapy & Sports Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002026 Issued in WA

Legal business name

EDMONDS PHYSICAL THERAPY & SPORTS REHAB

Practice address

7315 212TH St SW
Suite 104
Edmonds, WA 98026-7610

Phone

(425) 774-3226

Fax

(425) 670-1406

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Shawn D Cates, RPT

Title

Owner/Physical Therapist

Phone

(425) 774-3226

Specialties & licenses 3

Addresses

Other names 1

• Edmonds Physical Therapy & Sports Rehabilitation, P.S. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Chamberlin, P.T.

  • Physical Therapist
  • Edmonds, WA
  • NPI 1104917863
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1497927271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-774-3226",
            "fax_number": "425-670-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 212TH ST SW",
            "address_2": "SUITE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267610",
            "telephone_number": "425-774-3226",
            "fax_number": "425-670-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS PHYSICAL THERAPY & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-774-3226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002026",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002027",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60056174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonds Physical Therapy & Sports Rehabilitation, P.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edmonds Garden Afh LLC
• Edmonds Health Clinic
• Edmonds Medical Clinic Inc
• Edmonds Oral & Facial Surgery
• Edmonds Oral Surgery, P.S.
• Edmonds Psychological and Pastoral Care
• Edmonds Rheumatology Associates Incorporated
• Edmonds Vision Center PS Inc
• Edmonds Wellness Clinic
• Edmonds Wellness Clinic, Inc

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.